JARED WADE HANSEN

SAINT PAUL, MN
NPI1730424086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1456)
Enumeration Date2012-11-27
Last Update Date2012-11-29
Business Address
-- JARED WADE HANSEN
2319 7TH ST W
SAINT PAUL, MN 55116-2813
Phone number: 651-251-3078
Mailing Address
-- JARED WADE HANSEN
5816 AQUILA AVE N
NEW HOPE, MN 55428-3136
Phone number: 641-512-4275