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Evan Matthew Hansen, PT, DPT, OCS

Physical Therapist in Lincoln, NE. Individual provider (NPI-1).

NPI number1023440468
StatusActive
Last updated in NPPESOct 21, 2015

Details

NPI
1023440468
Entity type
Individual (NPI-1)
Name
Evan Matthew Hansen
Credential
PT, DPT, OCS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2013
Last updated
Oct 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist3267NEYes
225100000X Physical Therapist10996AZ

Practice location

7111 Stephanie Ln
Lincoln, NE 68516-5300

Phone 402-420-0004 · Fax 402-413-3566

Mailing address

5401 South St
Lincoln, NE 68506-2150

Phone 402-413-3900 · Fax 402-413-3566

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