Individual
CARLA DENISE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 EMERALD HILL DR, FISHERSVILLE, VA 22939-2046
(540) 932-1781
Mailing address
100 EMERALD HILL DR, FISHERSVILLE, VA 22939-2046
(540) 932-1781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005921
VA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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