RAYMOND SCOTT HANAN

MILWAUKEE, WI
NPI1710449210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  49888)
Enumeration Date2019-04-03
Last Update Date2019-04-03
Business Address
Mr. RAYMOND SCOTT HANAN PTA
6263 N GREEN BAY AVE
MILWAUKEE, WI 53209-3823
Phone number: 414-451-0543
Mailing Address
Mr. RAYMOND SCOTT HANAN PTA
2350 250TH ST SPC 45
LOMITA, CA 90717-3815
Phone number: 310-626-3332