Provider Demographics
NPI:1932085271
Name:HANNAOUI, LEILA
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:
Last Name:HANNAOUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEILA
Other - Middle Name:
Other - Last Name:HANNAOUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:200 ADDIE CT APT 302
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-4209
Mailing Address - Country:US
Mailing Address - Phone:304-919-3288
Mailing Address - Fax:
Practice Address - Street 1:3400 S PARK RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1150
Practice Address - Country:US
Practice Address - Phone:412-831-5155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033594225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist