Healthcare Provider Details

I. General information

NPI: 1417897638
Provider Name (Legal Business Name): HANNAH LYNN DRAKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 THIMBLE SHOALS BLVD STE C
NEWPORT NEWS VA
23606-2574
US

IV. Provider business mailing address

6548 BATTLEFIELD DR
WILLIAMSBURG VA
23188-7569
US

V. Phone/Fax

Practice location:
  • Phone: 757-455-5000
  • Fax:
Mailing address:
  • Phone: 757-585-0980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: