Provider Demographics
NPI:1033958095
Name:WARNER, HANNAH MARIE (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:WARNER
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MARIE
Other - Last Name:QUICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:FIRTH
Mailing Address - State:ID
Mailing Address - Zip Code:83236-1166
Mailing Address - Country:US
Mailing Address - Phone:208-241-2766
Mailing Address - Fax:
Practice Address - Street 1:112 E CENTER ST
Practice Address - Street 2:
Practice Address - City:FIRTH
Practice Address - State:ID
Practice Address - Zip Code:83236-1166
Practice Address - Country:US
Practice Address - Phone:208-241-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDOT-2216225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics