Healthcare Provider Details

I. General information

NPI: 1245159532
Provider Name (Legal Business Name): HANNAH MARIE CARNAGGIO OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3803 RAINBOW DR
RAINBOW CITY AL
35906-3025
US

IV. Provider business mailing address

2201 LAKE HEATHER CIR
HOOVER AL
35242-4891
US

V. Phone/Fax

Practice location:
  • Phone: 256-459-5051
  • Fax:
Mailing address:
  • Phone: 256-459-5051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6975
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: