Provider Demographics
NPI:1033954532
Name:PICHON, HANNAH ELYSSE (PT, DPT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELYSSE
Last Name:PICHON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34085 HAWKS CV
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-1179
Mailing Address - Country:US
Mailing Address - Phone:225-614-3773
Mailing Address - Fax:
Practice Address - Street 1:35055 LA HIGHWAY 16 STE 1C
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-1535
Practice Address - Country:US
Practice Address - Phone:225-791-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11816225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty