Individual
ERIC WESTHER HANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1963 MEMORIAL PKWY SW, SUITE 12, HUNTSVILLE, AL 35801-5036
(256) 265-7101
(256) 265-6655
Mailing address
1963 MEMORIAL PKWY SW, SUITE 12, HUNTSVILLE, AL 35801-5036
(256) 265-7101
(256) 265-6655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3948
AL
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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