Individual
MS. NICOLE MARIE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
Mailing address
801 DESCHEPPER ST, MARSHALL, MN 56258-3741
(507) 828-6830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1342
MN
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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