Individual
MISS AMY LYNN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5001 STATESMAN DR, IRVING, TX 75063-2414
(866) 217-2365
Mailing address
8073 LOFTY HEIGHT RD, WAYNESBORO, PA 17268-8636
(717) 816-7329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00275900
NJ
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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