Individual
TERESA MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
210 GRAND AVE E, GRAND MEADOW, MN 55936-2600
(507) 358-8214
Mailing address
1286 WILLOW LN SW, ROCHESTER, MN 55902-1809
(507) 358-8214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1932
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1932
PHYSICAL THERAPIST ASSISTANT
MN
Enumeration date
06/29/2021
Last updated
06/29/2021
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