Provider Demographics
NPI:1154767218
Name:HROMULAK, HANNA LYNN (AT, MPH, ATC)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:LYNN
Last Name:HROMULAK
Suffix:
Gender:F
Credentials:AT, MPH, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30050 RICKEY LN
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1619
Mailing Address - Country:US
Mailing Address - Phone:440-725-1536
Mailing Address - Fax:
Practice Address - Street 1:30050 RICKEY LN
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-1619
Practice Address - Country:US
Practice Address - Phone:440-725-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT.0038972255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer