Doctor Name: | ERYN HANNA |
NPI Number: | 1386868701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT29599 |
Business Practice Address: | 3351 El Camino Real Suite 180 Atherton, CA - 940273811 |
Business Phone Number: | 6503658350 |
Business Fax Number: | 6503658351 |
Mailing Address: | 3351 El Camino Real, Suite 180 ATHERTON |
State: | CA |
Postal Code: | 940273811 |
Phone Number: | 6503658350 |
Fax Number: | 6503658351 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | PT29599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |