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Individual

ELIZABETH ANNETTE HANNAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1704 SW 24TH ST, BLUE SPRINGS, MO 64015-5255
(816) 419-0311
Mailing address
20511 E TRINITY PL, BLUE SPRINGS, MO 64015-9501

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2002011005
MO

Other

Enumeration date
02/22/2021
Last updated
02/22/2021
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