| NPI | 1447823117 |
|---|---|
| Former Name | KARISSA A HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 12980) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 106901) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-05-18 |