Provider Demographics
NPI:1699315432
Name:HANNAWI, MAYSA (DPT)
Entity type:Individual
Prefix:
First Name:MAYSA
Middle Name:
Last Name:HANNAWI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 MARSH COURT LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3335
Mailing Address - Country:US
Mailing Address - Phone:919-995-4298
Mailing Address - Fax:
Practice Address - Street 1:700 KING ST UNIT D
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-4863
Practice Address - Country:US
Practice Address - Phone:843-868-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9257225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist