MEDICARE: ANGELA HANNAH

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	224Z00000X	Occupational Therapy Assistant	OTA-002425	OH

General Provider Information

NPI Number	:	1871439075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA HANNAH

Provider Business Mailing Address
First Line	:	4170 ALLIUM CT
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45505-1664
Country	:	US
Telephone Number	:	937-325-7671
Fax Number	:

Provider Business Practice Location Address
First Line	:	12355 DILLE RD
Second Line	:
City	:	NEW CARLISLE
State	:	OH
Zip	:	45344-9718
Country	:	US
Telephone Number	:	937-845-4470
Fax Number	:

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

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ ANGELA HANNAH ” Practice Location

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