| Doctor Name: | MR. CRAIG ALEXANDER HANSEN |
| NPI Number: | 1043415441 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 9082 |
| Business Practice Address: | 92 Montvale Ave Ste 1400 Stoneham, MA - 021803629 |
| Business Phone Number: | 6175914655 |
| Business Fax Number: | |
| Mailing Address: | 19 Lawrence St, WILMINGTON |
| State: | MA |
| Postal Code: | 018871905 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 01/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 9082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |