Individual
DENISE MARIE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
251 COUNTY ROAD 120, SUITE A, SAINT CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Mailing address
251 COUNTY ROAD 120, SUITE A, SAINT CLOUD, MN 56303
(320) 259-5429
(320) 240-8905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1703
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264M1NO
BLUE CROSS BLUE SHIELD OF MN
MN
05
—
445861300
—
MN
01
—
6401893
MEDICA
MN
01
—
73B31HA
BLUE CROSS BLUE SHIELD
MN
01
—
HP32970
HEALTHPARTNERS
MN
Enumeration date
11/22/2006
Last updated
08/19/2013
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