Individual
VICTORIA A HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7711 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 813-9544
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8527
ID
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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