Provider Demographics
NPI:1902573652
Name:PICHE, HANNA CATHERINE (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:CATHERINE
Last Name:PICHE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:HANNA
Other - Middle Name:CATHERINE
Other - Last Name:CORLISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:65 CHALET CIRCLE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009
Mailing Address - Country:US
Mailing Address - Phone:845-807-6912
Mailing Address - Fax:
Practice Address - Street 1:314 SOUTH MANNING BOULEVARD
Practice Address - Street 2:LANGAN SCHOOL
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208
Practice Address - Country:US
Practice Address - Phone:518-437-5680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-29
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047925225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist