Healthcare Provider Details

I. General information

NPI: 1205749348
Provider Name (Legal Business Name): HANNAH NOELLE SANDLIN COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 ATRIUM DR
MIDDLETOWN OH
45005-5166
US

IV. Provider business mailing address

200 LAKEVIEW DR
FRANKLIN OH
45005-3080
US

V. Phone/Fax

Practice location:
  • Phone: 513-727-4590
  • Fax:
Mailing address:
  • Phone: 513-435-0421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA009035
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: