Provider Demographics
NPI:1437185568
Name:HANNAH, ALLISON JOEL (ATC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JOEL
Last Name:HANNAH
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:JOEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:2565 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-4613
Mailing Address - Country:US
Mailing Address - Phone:330-257-1292
Mailing Address - Fax:
Practice Address - Street 1:2565 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-4613
Practice Address - Country:US
Practice Address - Phone:330-257-1292
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer