Individual
CASEY JAMES HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
2401 41ST ST S, FARGO, ND 58104-7783
(701) 478-7868
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1569
ND
Other
Enumeration date
06/07/2010
Last updated
04/28/2022
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