Individual
JENNIFER R HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
825 WESTERN AVE, COLUMBUS, WI 53925-1675
(920) 623-2520
Mailing address
825 WESTERN AVE, COLUMBUS, WI 53925-1675
(920) 623-2520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11075-024
WI
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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