Healthcare Provider Details

I. General information

NPI: 1164883047
Provider Name (Legal Business Name): HANNAH EILEEN HEYMAN MS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH GRIFFIN OTR/L

II. Dates (important events)

Enumeration Date: 03/18/2016
Last Update Date: 11/08/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CONCORD ROAD
LEE NH
03861-0386
US

IV. Provider business mailing address

27 MOHARIMET DR
MADBURY NH
03823-7556
US

V. Phone/Fax

Practice location:
  • Phone: 603-609-5685
  • Fax:
Mailing address:
  • Phone: 207-286-6832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT3129
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2523
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: