Healthcare Provider Details

I. General information

NPI: 1265858997
Provider Name (Legal Business Name): HANNAH JEAN CLARK MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2014
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 BUNKER HILL RD NE
WASHINGTON DC
20017-3026
US

IV. Provider business mailing address

1731 BUNKER HILL RD NE
WASHINGTON DC
20017-3026
US

V. Phone/Fax

Practice location:
  • Phone: 202-832-4400
  • Fax:
Mailing address:
  • Phone: 202-832-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number09036
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT010001351
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: