Individual
ASHLEY DIANE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4255
(864) 595-4821
Mailing address
563 CAREY DR, GREER, SC 29651-7300
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5993
SC
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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