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NPI Code Detail

MEDICARE: HANNAH ABBEY PT, DPT

MEDICARE: HANNAH ABBEY PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT7423MS

General Provider Information

NPI Number : 1417713405
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ABBEY PT, DPT
Provider Business Mailing Address
First Line : 79 AVONDALE CIR
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-6140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 217 METHODIST BLVD
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1338
Country : US
Telephone Number : 601-329-2030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2024
Last Update Date : 02/27/2024

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