Individual
EDNA MARIE FERNANDEZ-HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10944 NW EXPRESSWAY STE A, YUKON, OK 73099-8214
(405) 373-3122
Mailing address
10944 NW EXPRESSWAY STE A, YUKON, OK 73099-8214
(405) 373-3122
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1760
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760
STATE LICENSE
OK
Enumeration date
03/10/2020
Last updated
03/23/2020
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