Individual
DYLAN MICHAEL HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6170 COUNTY ROAD 1405, JACKSONVILLE, TX 75766-7601
(903) 721-4162
Mailing address
6170 COUNTY ROAD 1405, JACKSONVILLE, TX 75766-7601
(903) 721-4162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2157674
TX
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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