Individual
THOMAS HAROLD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
24216 WITTE RD SE, MAPLE VALLEY, WA 98038-6827
(425) 413-3583
Mailing address
14022 SE 158TH ST, RENTON, WA 98058-7812
(425) 277-1394
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00006617
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8344194
—
WA
Enumeration date
05/17/2007
Last updated
01/04/2013
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