Individual
MICHAEL HANNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2332 LIBERTY DR, CORALVILLE, IA 52241-2771
(319) 545-7390
Mailing address
2028 9TH ST APT 8, CORALVILLE, IA 52241-1535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
073725
IA
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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