Individual
EMILY R HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008026
CT
225100000X
Physical Therapist
Primary
9508
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080008026CT01
ANTHEM BCBS
CT
Enumeration date
05/14/2007
Last updated
12/12/2013
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