Provider Demographics
NPI:1124732037
Name:BLOCK, HANNAH-LEIGH BARHAM (OTD)
Entity type:Individual
Prefix:MRS
First Name:HANNAH-LEIGH
Middle Name:BARHAM
Last Name:BLOCK
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:124 CRUPPER LN
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-1068
Mailing Address - Country:US
Mailing Address - Phone:719-757-0086
Mailing Address - Fax:472-215-8660
Practice Address - Street 1:124 CRUPPER LN
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-1068
Practice Address - Country:US
Practice Address - Phone:919-264-2001
Practice Address - Fax:472-215-8660
Is Sole Proprietor?:No
Enumeration Date:2023-01-06
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
NC16563225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist