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NPI Code Detail

MEDICARE: HANS A KARLSSON PT

MEDICARE: HANS A KARLSSON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist38078CA

General Provider Information

NPI Number : 1538227780
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANS A KARLSSON PT
Provider Business Mailing Address
First Line : 808 DONAHUE ST
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-5434
Country : US
Telephone Number : 602-361-9986
Fax Number : 707-541-6721
Provider Business Practice Location Address
First Line : 808 DONAHUE ST
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-5434
Country : US
Telephone Number : 602-361-9986
Fax Number : 707-541-6721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 02/03/2025

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Directions to “ HANS A KARLSSON PT” Practice Location

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