Provider Demographics
NPI:1548260698
Name:FROST, HANNAH E (PT)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:E
Last Name:FROST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:E
Other - Last Name:PARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:891 E WARNER RD STE A-100
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-2965
Mailing Address - Country:US
Mailing Address - Phone:480-271-9756
Mailing Address - Fax:
Practice Address - Street 1:891 E WARNER RD STE A-100
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-2965
Practice Address - Country:US
Practice Address - Phone:480-222-0655
Practice Address - Fax:480-222-1457
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2018-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8404225100000X
AZ7447225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ158746Medicaid