Provider Demographics
NPI:1689876203
Name:HANNA, DEANNA LYN (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:LYN
Last Name:HANNA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:
Other - Last Name:CROTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2088 CROSS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-9520
Mailing Address - Country:US
Mailing Address - Phone:610-395-8151
Mailing Address - Fax:
Practice Address - Street 1:350 S CEDARBROOK RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5708
Practice Address - Country:US
Practice Address - Phone:610-395-3727
Practice Address - Fax:610-395-7919
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007695L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist