Individual
BENJAMIN L HANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
191 THEATRE RD, ONALASKA, WI 54650-8679
(608) 392-5004
(608) 392-5791
Mailing address
700 WEST AVE S, ATTN PHYSICIAN SERVICES, LA CROSSE, WI 54601-4783
(608) 392-4156
(608) 392-9898
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1359
WI
Other
Enumeration date
12/11/2006
Last updated
09/15/2020
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