Provider Demographics
NPI:1659107886
Name:TORRES, HANAN (LMT)
Entity type:Individual
Prefix:
First Name:HANAN
Middle Name:
Last Name:TORRES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 FERNANDEZ CT
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-3206
Mailing Address - Country:US
Mailing Address - Phone:908-477-4792
Mailing Address - Fax:908-477-4792
Practice Address - Street 1:6405 FERNANDEZ CT
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-3206
Practice Address - Country:US
Practice Address - Phone:908-477-4792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00574200225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist