Basic Information
Provider Information
NPI: 1295111276
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DONADIO
FirstName: HANNAH
MiddleName:  
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NameSuffix:  
Credential:  
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Mailing Information
Address1: 101 N PLAINS INDUSTRIAL RD
Address2:  
City: WALLINGFORD
State: CT
PostalCode: 064922360
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 101 N PLAINS INDUSTRIAL RD
Address2:  
City: WALLINGFORD
State: CT
PostalCode: 064922360
CountryCode: US
TelephoneNumber: 2032650018
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/03/2015
LastUpdateDate: 03/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X010388CTN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X292219CAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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