Dylan Michael Hannah, PT, DPT | |
1930 E Southern Ave, Tempe, AZ 85282-7518 | |
(380) 456-0719 | |
Not Available |
Full Name | Dylan Michael Hannah |
---|---|
Gender | Male |
Speciality | Physical Therapist - Pediatrics |
Location | 1930 E Southern Ave, Tempe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215501804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Primary |
Provider Name | Solace Pediatric Healthcare Therapy Services Az, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669533105 PECOS PAC ID: 2163784299 Enrollment ID: O20180329000661 |
Mailing Address | Practice Location Address |
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Dylan Michael Hannah, PT, DPT 1930 E Southern Ave, Tempe, AZ 85282-7518 Ph: (380) 456-0719 | Dylan Michael Hannah, PT, DPT 1930 E Southern Ave, Tempe, AZ 85282-7518 Ph: (380) 456-0719 |
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