Provider Demographics
NPI:1275146326
Name:CLARY, HANNAH ELISE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELISE
Last Name:CLARY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ELISE
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:11450 SPACE CENTER BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3642
Mailing Address - Country:US
Mailing Address - Phone:281-998-0901
Mailing Address - Fax:
Practice Address - Street 1:46400 LEXINGTON VILLAGE WAY STE 107
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-5564
Practice Address - Country:US
Practice Address - Phone:301-798-7020
Practice Address - Fax:301-720-0121
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCP019057T225100000X
MOCP010172T225100000X
TX1334491225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist