Individual
ERIC HANSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1130 N WESTFIELD ST, OSHKOSH, WI 54902-3217
(920) 237-2163
Mailing address
371 S WESTHAVEN DR APT B109, OSHKOSH, WI 54904-7991
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2390-19
WI
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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