TARA HANNAH

Physical Therapy Assistant

Active Individual
NPI: 1598131195

Practice Address

68 ROAD 6118
Kirtland, NM 87417

Phone: (505) 402-6407

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes A-1157 (NM)

Frequently Asked Questions

NPI 1598131195 is the National Provider Identifier for TARA HANNAH, a Physical Therapy Assistant provider located in Kirtland, NM. This NPI was enumerated on August 18, 2015.
TARA HANNAH practices at 68 ROAD 6118, Kirtland, NM 87417.

Quick Facts

NPI
1598131195
Type
Individual
Enumerated
Aug 18, 2015
Last Updated
Aug 18, 2015

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