Individual
MR. GARY ROBERT HANNA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
MCCOMB FIELDHOUSE, EDINBORO UNIVERSITY, EDINBORO, PA 16444-0001
(814) 732-2776
(814) 732-2857
Mailing address
110 HOLLYWOOD BLVD, GREENVILLE, PA 16125-1320
(724) 588-6636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000255A
PA
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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