Individual
JOSEPH HANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8320 OLD COURTHOUSE RD STE 410, VIENNA, VA 22182-3848
(703) 734-2889
Mailing address
8320 OLD COURTHOUSE RD STE 410, VIENNA, VA 22182-3848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12490
CT
225100000X
Physical Therapist
Primary
2305213346
VA
Other
Enumeration date
12/06/2019
Last updated
12/11/2019
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