| NPI | 1215384136 |
|---|---|
| Former Name | KATLIN E HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 10477) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: WI 13390-24) | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2018-07-18 |