Individual
JEFFREY WILLIS HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1721 MEDICAL PARK DR, STE 102, BILOXI, MS 39532-2109
(228) 396-3374
(228) 396-3379
Mailing address
1721 MEDICAL PARK DR STE 102, BILOXI, MS 39532-2105
(228) 396-3374
(228) 396-3379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2619
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124051
—
MS
Enumeration date
08/24/2006
Last updated
07/08/2007
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