MEDICARE: HANNAH NICOLE ARMSTRONG OTR/L

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	3749	AR

General Provider Information

NPI Number	:	1902511397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH NICOLE ARMSTRONG OTR/L

Provider Business Mailing Address
First Line	:	915 FOXWOOD DR
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-2654
Country	:	US
Telephone Number	:	217-381-4772
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 PARKSTONE CIR # 17
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7059
Country	:	US
Telephone Number	:	501-801-9705
Fax Number	:

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

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	01/19/2023

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