Audrey Jo Hansen, ATC

NPI #1154381952 in Normal, Illinois

Provider Information

NPI Number
1154381952
Entity Type
Individual
Name
Audrey Jo Hansen, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
205 HORTON
City
Normal
ZIP Code
61790-5120
Phone
(309) 438-5366

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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