Provider Demographics
NPI:1821844945
Name:HANSEN, DANIEL (DPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:HANSEN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 GOOD SAMARITAN DR STE A
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-5209
Mailing Address - Country:US
Mailing Address - Phone:513-346-1650
Mailing Address - Fax:513-245-5424
Practice Address - Street 1:6909 GOOD SAMARITAN DR STE A
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-5209
Practice Address - Country:US
Practice Address - Phone:513-346-1650
Practice Address - Fax:513-245-5424
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT021012225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist