Provider Demographics
NPI:1609008432
Name:HANSON, CHONA HILARIO (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CHONA
Middle Name:HILARIO
Last Name:HANSON
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 195TH ST
Mailing Address - Street 2:
Mailing Address - City:DRESSER
Mailing Address - State:WI
Mailing Address - Zip Code:54009-4405
Mailing Address - Country:US
Mailing Address - Phone:715-755-4843
Mailing Address - Fax:
Practice Address - Street 1:220 SCHOLL CT
Practice Address - Street 2:
Practice Address - City:AMERY
Practice Address - State:WI
Practice Address - Zip Code:54001-1440
Practice Address - Country:US
Practice Address - Phone:715-268-7107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10567-0242251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics