Individual
ROSS HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
315 E MAIN ST, ANAMOSA, IA 52205-1807
(319) 462-6882
Mailing address
315 E MAIN ST, ANAMOSA, IA 52205-1807
(319) 462-6882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5335
IA
Other
Enumeration date
02/11/2014
Last updated
04/12/2016
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