Charles Spencer Hansen, PT

NPI #1124334560 in Twin Falls, Idaho

Provider Information

NPI Number
1124334560
Entity Type
Individual
Name
Charles Spencer Hansen, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Aug 23, 2010
Last Updated
Aug 23, 2010

Practice Location

Address
650 ADDISON AVE W
State
Idaho
ZIP Code
83301-5444
Phone
(208) 737-2000

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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