Individual
HANS JUSTIN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Mailing address
P.O. BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-3321
(907) 442-7250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2320
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS19IP
—
AK
05
—
HS19OP
—
AK
Enumeration date
09/16/2011
Last updated
09/16/2011
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