Individual
DAISY FAITH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
307 ROYALL AVE, ELROY, WI 53929-1044
(608) 462-8491
Mailing address
505 DIVISION ST, ONTARIO, WI 54651-9010
(608) 487-6270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4265-19
WI
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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