Individual
TYLER HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
102 DOCTORS DR, DOTHAN, AL 36301
(334) 793-8804
Mailing address
4205 BELFORT RD, STE 1100, JACKSONVILLE, FL 32216-5876
(904) 450-8240
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
DO.2055
AL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS18705
FL
Other
Enumeration date
03/28/2015
Last updated
06/02/2022
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