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1508210113
LORI ANN HANSON
CANTON, GA
NPI
1508210113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA003270)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
-- LORI ANN HANSON PTA
1453 RIVERSTONE PKWY STE 170
CANTON, GA 30014-5603
Phone number: 770-704-0774
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Mailing Address
-- LORI ANN HANSON PTA
8823 PRODUCTION LN
OOLTEWAH, TN 37363-6511
Phone number: 423-238-7217
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