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NPI Code Detail

MEDICARE: LAURA A. HANSEN PT

MEDICARE: LAURA A. HANSEN 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 TherapistPT18323CA

General Provider Information

NPI Number : 1629234083
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A. HANSEN PT
Provider Business Mailing Address
First Line : 535 SYLMAR CT
Second Line :
City : CLOVIS
State : CA
Zip : 93611-6707
Country : US
Telephone Number : 559-273-1001
Fax Number : 559-297-8812
Provider Business Practice Location Address
First Line : 2555 S EAST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-5104
Country : US
Telephone Number : 559-445-0606
Fax Number : 559-264-9241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2008
Last Update Date : 08/05/2008

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Directions to “ LAURA A. HANSEN PT” Practice Location

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