| NPI | 1649555798 |
|---|---|
| Former Name | AMANDA M HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2018-09-26 |