Provider Demographics
NPI:1427805399
Name:HANS, PAUL
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:HANS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:GURMIT
Other - Middle Name:S
Other - Last Name:SRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:146 EDELWEISS WAY
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-2061
Mailing Address - Country:US
Mailing Address - Phone:209-625-7487
Mailing Address - Fax:
Practice Address - Street 1:146 EDELWEISS WAY
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-2061
Practice Address - Country:US
Practice Address - Phone:209-625-7487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53244225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant