Individual
HEATHER HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 CYPRESS ST, WEST MONROE, LA 71291-3120
(318) 381-5893
Mailing address
210 CYPRESS ST, WEST MONROE, LA 71291-3120
(318) 381-5893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10844R
LA
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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