Benjamin L Hanan, PTA

NPI #1396805495 in Onalaska, Wisconsin

Provider Information

NPI Number: 1396805495
Entity Type: Individual
Name: Benjamin L Hanan, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 11, 2006
Last Updated: Sep 15, 2020

Practice Location

Address: 191 THEATRE RD
City: Onalaska
State: Wisconsin
ZIP Code: 54650-8679
Phone: (608) 392-5004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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