Healthcare Provider Details

I. General information

NPI: 1689181612
Provider Name (Legal Business Name): HANNAH M. PIERCE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2017
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 E LITTLE CREEK RD
NORFOLK VA
23505-2503
US

IV. Provider business mailing address

PO BOX 69030
BALTIMORE MD
21264-9030
US

V. Phone/Fax

Practice location:
  • Phone: 757-797-0210
  • Fax: 757-453-1550
Mailing address:
  • Phone: 757-873-2302
  • Fax: 757-873-2306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305211352
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: