Tara Hannah
Tara Hannah is a Physical Therapy Assistant in Kirtland, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2015
Practice location Address checks out
68 Road 6118Kirtland, NM 87417-9319
Phone: (505) 402-6407
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence A-1157 (NM) |
|---|
Record details
| NPI number | 1598131195 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2015 |
| Last updated in NPPES | August 18, 2015 |
| Mailing address | 68 Road 6118, Kirtland, NM 87417-9319 |