Individual
MISS MARY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT ASSISTANT
Contact information
Practice address
KIDS FIRST MAGNOLIA CALHOUN RD, MAGNOLIA, AR 71753
(870) 234-1597
Mailing address
109 OLD EL DORADO RD, MAGNOLIA, AR 71753-8415
(870) 901-6311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058
AR
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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