| Doctor Name: | MR. MATTHEW HANNAN |
| NPI Number: | 1023416989 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT024126 |
| Business Practice Address: | 9811 Washingtonian Blvd Adventist Healthcare Physical Health & Rehab Gaithersburg, MD - 20878 |
| Business Phone Number: | 2408268940 |
| Business Fax Number: | 2408268945 |
| Mailing Address: | 9811 Washingtonian Blvd, Adventist Healthcare Physical Health & Rehab GAITHERSBURG |
| State: | MD |
| Postal Code: | 20878 |
| Phone Number: | 2408268940 |
| Fax Number: | 2408268945 |
| NPI Enumeration Date: | 12/09/2014 |
| NPI Last Update Date: | 02/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT024126 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |