Derek Hansen

NPI #1194330043 in Tulare, California

Provider Information

NPI Number: 1194330043
Entity Type: Individual
Name: Derek Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 8, 2020
Last Updated: Sep 8, 2020

Practice Location

Address: 1132 LELAND AVE
City: Tulare
State: California
ZIP Code: 93274-7811
Phone: (559) 684-0611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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