Individual
DEREK HANAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-2606
Mailing address
352 STILL WATER CT, DOUSMAN, WI 53118-8832
(414) 406-1664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6317-024
WI
Other
Enumeration date
04/10/2007
Last updated
02/23/2017
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