Individual
NANETTE HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CCS
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1128
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1128
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
5501016473
MI
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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