Individual ProviderJudy M HansonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520(701) 530-8833PECOS EnrollmentBased on the most recent information from CMS, provider Judy M Hanson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1285805689Provider TypeIndividualFull NameHanson, Judy MCredentialPTGenderFemaleSole ProprietorNoEnumeration Date3/13/2008Last Updated3/13/2008Contact InformationPractice LocationPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520Phone(701) 530-8833FaxUnlisted FaxMailing LocationMailing Address900 E Broadway Ave, Po Box 5510, Bismarck, ND 58506-5510Phone(701) 530-8833FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense0869North DakotaProvider IdentifiersIDDescriptionIssuerID0869DescriptionOtherIssuerLICENSENorth Dakota