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Search › Wisconsin › 225200000X

Timothy Hanson, PTA

NPI 1619211299 · on the registry since 2012 · sole proprietor

Practice

Address
1414 Jefferson St
Baraboo, WI 53913
Phone
(608) 356-3420
Fax
(608) 355-3333
Organisation at this address
St Clare Care And Rehab Center Llc
Ssm Health Care Of Wisconsin, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin