Individual
MR. JEREMY SCOTT HANSEN
Active
Individual
MR. JEREMY SCOTT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
34755
CA
225100000X
Physical Therapist
9700
CO
225100000X
Physical Therapist
Primary
PTP-PT-LIC-7940
MT
Other
Enumeration date
08/01/2007
Last updated
08/17/2015
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