Individual
MR. RAYMOND SCOTT HANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6263 N GREEN BAY AVE, MILWAUKEE, WI 53209-3823
(414) 451-0543
Mailing address
2350 250TH ST SPC 45, LOMITA, CA 90717-3815
(310) 626-3332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49888
CA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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