| NPI | 1659945178 |
|---|---|
| Former Name | JESSICA LYNN HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT43315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P23274) |
| 225100000X Physical Therapist (Licence: KS 11-06877) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-08-10 |