Eric Glen Hansen, ATC

NPI #1891996419 in Emmitsburg, Maryland

Provider Information

NPI Number: 1891996419
Entity Type: Individual
Name: Eric Glen Hansen, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: May 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 16300 OLD EMMITSBURG RD
City: Emmitsburg
State: Maryland
ZIP Code: 21727-7700
Phone: (301) 447-5386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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