Provider Demographics
NPI:1518207125
Name:ARNOLD, HANNAH MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MARIE
Other - Last Name:BAWKON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3385 SHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48462-9270
Mailing Address - Country:US
Mailing Address - Phone:586-484-3024
Mailing Address - Fax:
Practice Address - Street 1:901 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-1005
Practice Address - Country:US
Practice Address - Phone:248-435-8230
Practice Address - Fax:248-435-8270
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501016175225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist