Derek Hanaman, MPT

NPI #1649393844 in Summit, Wisconsin

Provider Information

NPI Number: 1649393844
Entity Type: Individual
Name: Derek Hanaman, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Apr 10, 2007
Last Updated: Feb 23, 2017

Practice Location

Address: 36500 AURORA DR
City: Summit
State: Wisconsin
ZIP Code: 53066-4899
Phone: (262) 434-2606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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