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Individual

AMANDA HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 471-1521
(228) 471-1548
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5286
MS

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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