Individual
LORI ANN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1453 RIVERSTONE PKWY, STE 170, CANTON, GA 30014-5603
(770) 704-0774
(770) 704-0779
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003270
GA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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