Individual
ALLISON HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1122 CENTER DR STE D350, PARK CITY, UT 84098-6908
(435) 383-2026
Mailing address
PO BOX 711185, SALT LAKE CITY, UT 84171-1185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12312677-2401
UT
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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