Provider Demographics
NPI:1518629096
Name:HARRIS, HANNAH NICOLE (OTR/L)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:NICOLE
Last Name:HARRIS
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:DR
Other - First Name:HANNAH
Other - Middle Name:NICOLE
Other - Last Name:SPEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3127 SOUTHWEST DR.
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404
Mailing Address - Country:US
Mailing Address - Phone:870-336-8100
Mailing Address - Fax:870-769-1668
Practice Address - Street 1:1900 STILLWATER DR.
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404
Practice Address - Country:US
Practice Address - Phone:870-336-8100
Practice Address - Fax:877-769-1668
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3572225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist