NPI 1043385800

Havalo Kaye Jo Hanson, PT

Practitioner Physical Therapist San Angelo, TX

Practice location

Address: 3001 S Jackson St, San Angelo, TX 76904-5129
Phone: (325) 223-6391
Fax: (325) 223-6447
Mailing address: 4601 Hartford St, Abilene, TX 79605-4603

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1011047 (TX)

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Registry record

NPI: 1043385800
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.