Jaclyn Rose Hanson
Jaclyn Rose Hanson is a Physical Therapy Assistant in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.
- Licensed in
- WI
- In the registry since
- 2019
Practice location Address checks out
459 E 1st StFond Du Lac, WI 54935-4505
Phone: (920) 906-4785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2988-19 (WI) |
|---|
Record details
| NPI number | 1376199208 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 15, 2019 |
| Last updated in NPPES | August 15, 2019 |
| Mailing address | W3663 Taynette Cir, Malone, WI 53049-1608 |
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