Healthcare Provider Details

I. General information

NPI: 1699317420
Provider Name (Legal Business Name): HANNA G PITCHER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2019
Last Update Date: 10/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 PENNSYLVANIA AVE SE
WASHINGTON DC
20003-3027
US

IV. Provider business mailing address

1301 PENNSYLVANIA AVE SE BSMT
WASHINGTON DC
20003-3027
US

V. Phone/Fax

Practice location:
  • Phone: 202-544-5439
  • Fax: 202-379-1797
Mailing address:
  • Phone: 202-544-5439
  • Fax: 202-379-1797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number2305210014
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT872550
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: