Provider Demographics
NPI:1417404617
Name:HNARAS, CONSTANTINE (MPT)
Entity Type:Individual
Prefix:
First Name:CONSTANTINE
Middle Name:
Last Name:HNARAS
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:DEAN
Other - Middle Name:
Other - Last Name:HNARAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MPT
Mailing Address - Street 1:160 GALLERY DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2690
Mailing Address - Country:US
Mailing Address - Phone:412-362-8677
Mailing Address - Fax:
Practice Address - Street 1:160 GALLERY DR
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-2690
Practice Address - Country:US
Practice Address - Phone:412-362-8677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009808L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist