Individual
TAYLOR HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1087
(574) 647-1000
Mailing address
101 CODY CT, MANKATO, MN 56001-6773
(507) 381-9004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13383
MN
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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