Individual
LAUREN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N BRADLEY HWY, ROGERS CITY, MI 49779-1539
(989) 734-7545
Mailing address
555 N BRADLEY HWY, ROGERS CITY, MI 49779-1539
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003482
MI
Other
Enumeration date
11/07/2013
Last updated
04/20/2015
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