Individual
DYLAN MICHAEL HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(380) 456-0719
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(380) 456-0719
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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