Individual provider · Type 1 NPI

Jaclyn Rose Hanson

Physical Therapy Assistant · Fond Du Lac, WI

NPI number 1376199208 Active

Practice location

459 E 1st St
Fond Du Lac, WI 54935-4505

Call (920) 906-4785 Map

Mailing address

W3663 Taynette Cir
Malone, WI 53049-1608

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2988-19 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1376199208

Jaclyn Rose Hanson's National Provider Identifier is 1376199208, issued on Aug 15, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Aug 15, 2019.