Individual
MRS. ERICA AIMEE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4461 WHITE BEAR PKWY STE 1, WHITE BEAR LAKE, MN 55110-7626
(651) 645-4540
Mailing address
2622 ULYSSES ST NE, MINNEAPOLIS, MN 55418-3048
(651) 408-5669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2449
MN
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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