Kimberly Stacie Hansen, ATC
NPI #1144331000 in Chino, California
Provider Information
- NPI Number
- 1144331000
- Entity Type
- Individual
- Name
- Kimberly Stacie Hansen, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 13400 PIPELINE AVE
- City
- Chino
- State
- California
- ZIP Code
- 91710-4959
- Phone
- (909) 591-3902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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