Individual
MS. SALLY HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
104 GLEN OAK BLVD, SUITE 180, HENDERSONVILLE, TN 37075-6423
(615) 338-4391
(615) 338-4304
Mailing address
104 GLEN OAK BLVD, SUITE 120, HENDERSONVILLE, TN 37075-6423
(615) 338-4391
(615) 338-4304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1527
TN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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