Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE009304 | PA |
NPI | 1013268374 |
---|---|
Provider Name | Hannah M. Ploss |
First Address | Greensburg, PA 15601-7921 |
Second Address | Greensburg, PA 15601-7921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2012 |
Last Update Date | 27/09/2012 |