CHARLES SPENCER HANSEN

TWIN FALLS, ID
NPI1124334560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-2742)
Enumeration Date2010-08-23
Last Update Date2010-08-23
Business Address
-- CHARLES SPENCER HANSEN PT
650 ADDISON AVE W
TWIN FALLS, ID 83301-5444
Phone number: 208-737-2000
Mailing Address
-- CHARLES SPENCER HANSEN PT
PO BOX 409
TWIN FALLS, ID 83303-0409
Phone number: 208-737-2000
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