Provider Demographics
NPI:1467798595
Name:HAHN, MARTA (PT)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:HAHN
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 1:15321 CARAVEL DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6368
Mailing Address - Country:US
Mailing Address - Phone:703-220-6169
Mailing Address - Fax:
Practice Address - Street 1:4025 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4420
Practice Address - Country:US
Practice Address - Phone:361-852-8255
Practice Address - Fax:361-852-0212
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1062735225100000X
VA2305204256225100000X
WA60172416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist