Individual
MR. COREY MICHAEL HANNAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS ATC/L
Contact information
Practice address
1972 CLARK AVE, ALLIANCE, OH 44601-3929
(330) 829-8715
(330) 823-4896
Mailing address
2565 EDGEWOOD AVE, ALLIANCE, OH 44601-4613
(330) 829-8715
(330) 823-4896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 2589
OH
Other
Enumeration date
04/08/2006
Last updated
07/08/2007
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