Provider Demographics
NPI:1699975946
Name:MARRON, HANNA MARIE (DPT)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:MARIE
Last Name:MARRON
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 1:1892 WILLIAMS STREET
Mailing Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Mailing Address - City:FORT HARRISON
Mailing Address - State:MT
Mailing Address - Zip Code:59636
Mailing Address - Country:US
Mailing Address - Phone:406-447-7708
Mailing Address - Fax:406-447-7991
Practice Address - Street 1:1892 WILLIAMS STREET
Practice Address - Street 2:PHYSICAL THERAPY DEPARTMENT
Practice Address - City:FORT HARRISON
Practice Address - State:MT
Practice Address - Zip Code:59636
Practice Address - Country:US
Practice Address - Phone:406-447-7708
Practice Address - Fax:406-447-7991
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2077225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist