Healthcare Provider Details

I. General information

NPI: 1194672352
Provider Name (Legal Business Name): HANNAH LEIGH MENSE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 1ST CAPITOL DR
SAINT CHARLES MO
63301-2844
US

IV. Provider business mailing address

12533 POSTGROVE DR APT H
SAINT LOUIS MO
63146-4581
US

V. Phone/Fax

Practice location:
  • Phone: 636-947-5000
  • Fax:
Mailing address:
  • Phone: 618-314-4450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2026010950
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: