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Individual

ELIZABETH C HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
692 SUGAR HILL RD, CHIMACUM, WA 98325-7732
(360) 774-0676
Mailing address
PO BOX 327, CHIMACUM, WA 98325-0327
(360) 774-0676

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1073
HI
225100000X
Physical Therapist
2489
ID
225100000X
Physical Therapist
5904
OR
225100000X
Physical Therapist
60102251
WA

Other

Enumeration date
02/19/2009
Last updated
07/27/2009
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