| NPI | 1720209810 |
|---|---|
| Former Name | AMY L HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010073) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: UT 5931961-2401) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-08-10 |