Individual
MS. STACY C HANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
163 BISHOP DR, NORRISTOWN, PA 19403-2843
(610) 631-0617
Mailing address
163 BISHOP DR, NORRISTOWN, PA 19403-2843
(610) 631-0617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003382
PA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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