Jaclyn Rose Hanson
NPI #1376199208 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1376199208
- Entity Type
- Individual
- Name
- Jaclyn Rose Hanson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Aug 15, 2019
- Last Updated
- Aug 15, 2019
Practice Location
- Address
- 459 E 1ST ST
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4505
- Phone
- (920) 906-4785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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