Individual
STACI HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BOW B ST, REDLANDS, CA 92373-6827
(909) 522-1673
Mailing address
3 BOW B ST, REDLANDS, CA 92373-6827
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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