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Individual

PAULINE HANNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
856 S MAIN ST UNIT B, PLEASANT GROVE, UT 84062-3528
(509) 430-4616
Mailing address
856 S MAIN ST UNIT B, PLEASANT GROVE, UT 84062-3528
(509) 430-4616

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10152248-2401
UT
225100000X
Physical Therapist
PT-2702
ID

Other

Enumeration date
05/26/2012
Last updated
08/29/2025
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