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Individual

CHRISTOPHER W HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016358
MI
225100000X
Physical Therapist
9916-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40374500
WI
01
5501016358
PROFESSIONAL LICENSE
MI
01
9916-024
STATE LICENSE NUMBER
WI
Enumeration date
08/04/2008
Last updated
04/30/2019
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