Individual
PHILLIP HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
36 HAWTHORNE ST, APT 10, MEDFORD, OR 97504-7114
(541) 776-2333
(541) 776-2495
Mailing address
36 HAWTHORNE ST, APT 10, MEDFORD, OR 97504-7114
(541) 776-2333
(541) 776-2495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13018-24
WI
225100000X
Physical Therapist
1994
ND
225100000X
Physical Therapist
Primary
61496
OR
Other
Enumeration date
06/03/2015
Last updated
12/13/2016
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