Individual
DR. JONATHAN MICHAEL HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1065 E TUCSON MARKETPLACE BLVD STE 155, TUCSON, AZ 85713-6563
(520) 719-4210
(520) 822-8641
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32708
AZ
Other
Enumeration date
09/24/2020
Last updated
03/02/2025
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