# PAULINE HANNAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669732483
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 10152248-2401 | UT | Yes |
| 225100000X | Physical Therapist | PT-2702 | ID | — |

## Other

- **Enumeration date:** 05/26/2012
- **Last updated:** 08/29/2025