Individual
BETHANY HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 NJ-73, 401, MARLTON, NJ 08053
(800) 321-9999
Mailing address
999 NJ-73, 401, MARLTON, NJ 08053
(800) 321-9999
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00352600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
06/10/2026
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