Hansen, Thomas Harold

Hansen, Thomas Harold is an individual health care provider with primary practice located at 24216 Witte Rd Se , Maple Valley WA 98038-6827. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Hansen, Thomas Harold can be contacted via phone (425) 413-3583.

Contact Information

Primary practice address
24216 Witte Rd Se Maple Valley WA 98038-6827
Phone: (425) 413-3583
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT00006617 Washington

Profile Details

NPI number 1407063340
LBN Legal business name Hansen, Thomas Harold
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jan 4th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407063340 NPPES
Washington MEDICAID 8344194

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