Provider Demographics
NPI:1508022971
Name:HASS, JOANNA LEE (PT,DPT ,PRCWCS)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:LEE
Last Name:HASS
Suffix:
Gender:F
Credentials:PT,DPT ,PRCWCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 WILLIAM ST STE 800
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2609
Mailing Address - Country:US
Mailing Address - Phone:212-354-2622
Mailing Address - Fax:212-354-2752
Practice Address - Street 1:156 WILLIAM ST STE 800
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2609
Practice Address - Country:US
Practice Address - Phone:212-354-2622
Practice Address - Fax:212-354-2752
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22628225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist