Healthcare Provider Details

I. General information

NPI: 1407960727
Provider Name (Legal Business Name): FRANCES ANN HANSEN PT, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LONG WHARF DR
NEW HAVEN CT
06511-5991
US

IV. Provider business mailing address

PO BOX 670769
DALLAS TX
75367-0769
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-8800
  • Fax:
Mailing address:
  • Phone: 214-239-0990
  • Fax: 214-239-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14677
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: