Derek Hanson, PT

NPI #1235500554 in Lynbrook, New York

Provider Information

NPI Number: 1235500554
Entity Type: Individual
Name: Derek Hanson, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Oct 13, 2015
Last Updated: Oct 13, 2015

Practice Location

Address: 225 MERRICK ROAD
City: Lynbrook
State: New York
ZIP Code: 11563-2519
Phone: (516) 599-8734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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