Healthcare Provider Details

I. General information

NPI: 1982835476
Provider Name (Legal Business Name): HANNAH LYNN HUTCHINS COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 JENKINS MEMORIAL RD
WELLSTON OH
45692-9561
US

IV. Provider business mailing address

142 JENKINS MEMORIAL RD
WELLSTON OH
45692-9561
US

V. Phone/Fax

Practice location:
  • Phone: 740-384-3039
  • Fax: 740-384-3718
Mailing address:
  • Phone: 740-384-3039
  • Fax: 740-384-3718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA 3301
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: