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Jacob E Hansen, DPT

Physical Therapist in Safford, AZ. Individual provider (NPI-1).

NPI number1164069076
StatusActive
Last updated in NPPESDec 10, 2019

Details

NPI
1164069076
Entity type
Individual (NPI-1)
Name
Jacob E Hansen
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Dec 10, 2019
Certification date
Dec 10, 2019
Last updated
Dec 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

2290 W 16th St
Safford, AZ 85546-4081

Phone 928-348-4220

Mailing address

2290 W 16th St
Safford, AZ 85546-4081

Phone 928-348-4220

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