Individual
HEIDI JANE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KENNEDY DR # U3-4, SOUTH BURLINGTON, VT 05403-7152
(773) 808-8788
Mailing address
136 N PROSPECT ST, BURLINGTON, VT 05401-3347
(773) 808-8788
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
040.0134130
VT
225100000X
Physical Therapist
Primary
040.0134130
VT
Other
Enumeration date
06/03/2020
Last updated
07/08/2020
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