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Jack Edward Hanson, P.T.

Physical Therapist in Augusta, GA. Individual provider (NPI-1).

NPI number1932302007
StatusActive
Last updated in NPPESMar 28, 2024

Details

NPI
1932302007
Entity type
Individual (NPI-1)
Name
Jack Edward Hanson
Credential
P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 7, 2007
Certification date
Mar 28, 2024
Last updated
Mar 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist005721GAYes

Practice location

1220 W Wheeler Pkwy
Augusta, GA 30909

Phone 706-721-5222 · Fax 706-721-1459

Mailing address

1120 15th St Ste Bi1056
Augusta, GA 30912-0004

Phone 706-721-3813

Other practice locations

557 Furys Ferry Rd Ste A
Martinez, GA 30907-9059

Phone 706-721-5222 · Fax 706-721-1459

937 15th St
Augusta, GA 30912-0008

Phone 706-721-3481

937 15th St
Augusta, GA 30912-0008

Phone 706-721-3481

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