NPI 1205120011

Brandie Marie Hanson, PTA

Practitioner Physical Therapy Assistant Grantsburg, WI

Practice location

Address: 257 W Saint George Ave, Grantsburg, WI 54840-7827
Phone: (715) 463-7259
Mailing address: W7180 County Highway a, Spooner, WI 54801-7405

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1529-19 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1205120011
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2011
Record last updated: 9 Jun 2011

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.