Derek Hanaman, MPT Valid NPI

Individual provider · Physical Therapist · Summit, WI

NPI

1649393844

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

6317-024 (WI)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-10

Last updated

2017-02-23