Brandie Marie Hanson P.T.A.

NPI 1205120011 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1205120011
Gender Female
Enumeration Date 06/09/2011
Last Updated 06/09/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
257 W SAINT GEORGE AVE
GRANTSBURG WI, 54840-7827, US
Phone (715) 463-7259
Fax
Business Location
W7180 COUNTY HIGHWAY A
SPOONER WI, 54801-7405, US
Phone (715) 463-7259
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 1529-19
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According to our database, Brandie Marie Hanson P.T.A. NPI is 1205120011, taxonomy code is 225200000X and license number is 1529-19, license state is located at Wisconsin. Brandie Marie Hanson P.T.A. physically located at 257 W Saint George Ave, Grantsburg WI, 54840-7827. NPI Number Brandie Marie Hanson P.T.A. has the Individual type.

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1205120011 NPI number is provided on an as is basis without warranty of any kind. 1205120011 is maintained by the National Plan & Provider Enumeration System. The contents of Brandie Marie Hanson P.T.A. are for informational purposes only.