Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 6857 | CO |
NPI | 1013385525 |
---|---|
Provider Name | Mrs. Drue Elizabeth Hanney |
First Address | Colorado Springs, CO 80919-5901 |
Second Address | Colorado Springs, CO 80919-5901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2015 |
Last Update Date | 22/04/2021 |