Individual
MRS. KIM MARIE HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 257-5670
Mailing address
2288 BENNING DR, POWELL, OH 43065-7617
(614) 764-0543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6200
OH
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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