MEDICARE: HANNAH ELYSSE PICHON 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
1	225100000X	Physical Therapist	11816	LA

General Provider Information

NPI Number	:	1033954532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ELYSSE PICHON PT, DPT

Provider Business Mailing Address
First Line	:	34085 HAWKS CV
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70706-1179
Country	:	US
Telephone Number	:	225-614-3773
Fax Number	:

Provider Business Practice Location Address
First Line	:	35055 LA HIGHWAY 16 STE 1C
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70706-1535
Country	:	US
Telephone Number	:	225-791-7770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	01/27/2025

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