Individual
MR. GORDON HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
LIFESPAN THERAPY CARMEL HEALTH AND LIVING COMMUNITY, 118 MEDICAL DRIVE, CARMEL, IN 46032
(317) 573-1037
Mailing address
3811 WHITEHORSE RD, NASHVILLE, IN 47448-8191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002787A
IN
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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