Individual
MR. JASON L HANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2000
Mailing address
148 OBSIDIAN DR, SHERWOOD, AR 72120-3738
(501) 833-4485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2029
AR
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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