| Doctor Name: | KELLY ANN HANSCOM |
| NPI Number: | 1003025214 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT2820 |
| Business Practice Address: | 149 Silver St Waterville, ME - 049015813 |
| Business Phone Number: | 2078734638 |
| Business Fax Number: | 2078731541 |
| Mailing Address: | 12 Cottle Rd, OAKLAND |
| State: | ME |
| Postal Code: | 049634842 |
| Phone Number: | 2074653388 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251E1200X |
| License Number: | PT2820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |