Provider Demographics
NPI:1225445133
Name:CLAPP-HANSEN, JILL (DPT)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:CLAPP-HANSEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 SILVER ROCK RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20851-1106
Mailing Address - Country:US
Mailing Address - Phone:571-447-3547
Mailing Address - Fax:
Practice Address - Street 1:409 SILVER ROCK RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20851-1106
Practice Address - Country:US
Practice Address - Phone:571-447-3547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25048225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist