MEDICARE: HANNAH SPECKHART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1255873691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH SPECKHART

Provider Business Mailing Address
First Line	:	3916 ARLINGTON RD
Second Line	:	UNIT 320
City	:	UNIONTOWN
State	:	OH
Zip	:	44685-6947
Country	:	US
Telephone Number	:	330-205-8362
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 1ST ST NE
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-4044
Country	:	US
Telephone Number	:	330-830-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2016
Last Update Date	:	11/16/2016

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Directions to “ HANNAH SPECKHART ” Practice Location

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