Individual
ABIGAIL RENEE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
Mailing address
3500 MIDVALE DR APT 5, JANESVILLE, WI 53546-3447
(608) 290-4548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2251-39
WI
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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