Keroles Hanna, PTA
Physical Therapy Assistant in Crestwood, IL. Individual provider (NPI-1).
NPI number1679040463
StatusActive
Last updated in NPPESOct 30, 2018
Details
- NPI
- 1679040463
- Entity type
- Individual (NPI-1)
- Name
- Keroles Hanna
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 30, 2018
- Last updated
- Oct 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 160.008306 | IL | Yes |
Practice location
14255 Cicero AveCrestwood, IL 60418-2154
Phone 708-371-0400
Mailing address
14255 Cicero AveCrestwood, IL 60418-2154
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Other Physical Therapy Assistant providers in Crestwood, IL
- Dillon ClemmerNPI 1669358230
- Kourtney Hicks, PTANPI 1669842035
- Theresa A KasickNPI 1053036129
- Karin Lynn Labriola, PTANPI 1285190090
- Sandra SelakovichNPI 1447975479
- David Morgan Weiland, PTANPI 1457006173
All 7 Physical Therapy Assistant providers in Crestwood · All 229 providers in Crestwood
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