Healthcare Provider Details
I. General information
NPI: 1538079231
Provider Name (Legal Business Name): HANAN PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
625 COMMERCE ST
TACOMA WA
98402-4602
US
IV. Provider business mailing address
100 N HOWARD ST # 10423
SPOKANE WA
99201-0508
US
V. Phone/Fax
- Phone: 253-649-7450
- Fax:
- Phone: 253-649-7450
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BERNADINE
MALQUED
HOANG
Title or Position: OWNER & FOUNDER
Credential: DPT
Phone: 253-649-7450