Individual
HANNA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
717 N LIBERTY ST, BOISE, ID 83704-9342
(208) 367-8989
Mailing address
717 N LIBERTY ST, BOISE, ID 83704-9342
(208) 367-8989
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT-8473
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-8473
IDAHO PHYSICAL THERAPY LICENSE
ID
01
—
PT61326728
WASHINGTON PHYSICAL THERAPY LICENSE
WA
Enumeration date
12/02/2022
Last updated
12/02/2022
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