Provider Demographics
NPI:1699074179
Name:HINES, HANNA ELZBIETA (PT)
Entity type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:ELZBIETA
Last Name:HINES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:HANNA
Other - Middle Name:ELZBIETA
Other - Last Name:MIELNICZUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:130 ADMIRAL COCHRANE DRIVE
Mailing Address - Street 2:SUITE #101 ENCOMPASS PHYSICAL THERAPY
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401
Mailing Address - Country:US
Mailing Address - Phone:410-266-1500
Mailing Address - Fax:410-266-1365
Practice Address - Street 1:130 ADMIRAL COCHRANE DRIVE
Practice Address - Street 2:SUITE #101 ENCOMPASS PHYSICAL THERAPY
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-266-1500
Practice Address - Fax:410-266-1365
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23502225100000X
IL070.008605225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist