Provider Demographics
NPI:1407441470
Name:HACHE, VERONICA (PT)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:HACHE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 LARKIN RD
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19061-2231
Mailing Address - Country:US
Mailing Address - Phone:610-364-7932
Mailing Address - Fax:
Practice Address - Street 1:190 W SPROUL RD STE 103
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2097
Practice Address - Country:US
Practice Address - Phone:610-338-2796
Practice Address - Fax:610-338-2797
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007735L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist