Provider Demographics
NPI:1689033110
Name:DOLLARD, HANNA (CPO)
Entity Type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:
Last Name:DOLLARD
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 23RD ST
Mailing Address - Street 2:BUILDING 9, SUITE 119
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3504
Mailing Address - Country:US
Mailing Address - Phone:415-206-4387
Mailing Address - Fax:415-206-4389
Practice Address - Street 1:2550 23RD ST
Practice Address - Street 2:BUILDING 9, SUITE 119
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3504
Practice Address - Country:US
Practice Address - Phone:415-206-4387
Practice Address - Fax:415-206-4389
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist