Provider Demographics
NPI:1619790235
Name:ROACH, HANNAH (MS OTR/L)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:ROACH
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 POWERS ST APT 206
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-8946
Mailing Address - Country:US
Mailing Address - Phone:613-847-4686
Mailing Address - Fax:
Practice Address - Street 1:96 POWERS ST APT 206
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-8946
Practice Address - Country:US
Practice Address - Phone:613-847-4686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3872225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist