Individual
DIANNA MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6388-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231276
—
WI
Enumeration date
04/10/2006
Last updated
06/08/2023
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