Individual
EMILY J HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 SOUTH SR 57, WASHINGTON, IN 47501
(812) 254-4516
(812) 254-4763
Mailing address
102 W 1ST ST, MONROE CITY, IN 47557-7257
(812) 743-2104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003288A
IN
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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