Russell R Hansen
Russell R Hansen is a Physical Therapist in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
430 E Division StFond Du Lac, WI 54935-4560
Phone: (920) 926-5391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 10767-024 (WI) |
|---|
Record details
| NPI number | 1871636316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 15, 2007 |
| Last updated in NPPES | July 8, 2007 |
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