Individual
MRS. ELLEN M HANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20700
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60312
OPTIMUM CHOICE/MAMSI
MD
01
—
61770302
CAREFIRST OF MD
MD
01
—
F5170008
GHMSI
MD
01
—
P00231190
RAILROAD MEDICARE
MD
Enumeration date
09/27/2006
Last updated
07/08/2007
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