Individual
BRETT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
80 E NORTHAMPTON ST, WILKES BARRE, PA 18701-3035
(570) 830-3918
Mailing address
30 CIRCLE DR, HANOVER TOWNSHIP, PA 18706-4105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018858
PA
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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