Provider Demographics
NPI:1730212978
Name:MOOI, HANNAH PALISOC (OTR)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:PALISOC
Last Name:MOOI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MORDEN
Other - Last Name:PALISOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9078 E LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6822
Mailing Address - Country:US
Mailing Address - Phone:847-980-8216
Mailing Address - Fax:
Practice Address - Street 1:9385 W DONALD DR STE 116-326
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-2988
Practice Address - Country:US
Practice Address - Phone:602-875-5616
Practice Address - Fax:623-227-2030
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056005600225X00000X
AZOTH-006730225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist