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Carolyn Marissa Hansen, DPT

Physical Therapist in Duluth, MN. Individual provider (NPI-1).

NPI number1154635399
StatusActive
Last updated in NPPESMar 8, 2016

Details

NPI
1154635399
Entity type
Individual (NPI-1)
Name
Carolyn Marissa Hansen
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2010
Last updated
Mar 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist8493MNYes

Other names

  • Carolyn Marissa Despot (Former Name)

Practice location

915 E 1st St
Duluth, MN 55805-2107

Phone 218-249-5555

Mailing address

915 E 1st St
Duluth, MN 55805-2107

Phone 218-249-5555

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