Healthcare Provider Details

I. General information

NPI: 1154249506
Provider Name (Legal Business Name): HANNAH ELIZABETH ROSE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 OSGOOD ST
NORTH ANDOVER MA
01845-1975
US

IV. Provider business mailing address

575 OSGOOD ST
NORTH ANDOVER MA
01845-1975
US

V. Phone/Fax

Practice location:
  • Phone: 978-725-3300
  • Fax:
Mailing address:
  • Phone: 978-725-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4228
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTL36785
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: