Individual
JONATHAN HAROLD HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1813 O AVE, ANACORTES, WA 98221-2344
(360) 588-8075
(360) 588-0406
Mailing address
1813 O AVE, ANACORTES, WA 98221-2344
(360) 588-8075
(360) 588-0406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00004021
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196048
DEPT. OF L & I
WA
01
—
5637607
FIRST HEALTH
WA
01
—
7458743
AETNA
WA
05
—
8343170
—
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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