Individual
HANNAH HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
2885 N HAY MEADOWS AVE, FAYETTEVILLE, AR 72704-6039
(479) 587-0789
Mailing address
2885 N HAY MEADOWS AVE, FAYETTEVILLE, AR 72704-6039
(479) 587-0789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2535
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148170721
—
AR
01
—
5Y142
BCBS
AR
Enumeration date
02/27/2007
Last updated
04/22/2008
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