Hannah McMillan, OTA

Individual provider Active NPI Occupational Therapy Assistant · Charleston, AR

NPI 1770913865 · NPPES record last updated Nov 26, 2013

Key facts

NPI
1770913865
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
O-T1373 (AR)
Practice address
1919 Charmont Dr
Charleston, AR 72933-8910
Phone
(479) 965-6752
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
O-T1373ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Pediatric Rehab Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X O-T1373 AR Yes

Addresses

Primary practice location

1919 Charmont Dr
Charleston, AR 72933-8910

Mailing address

PO Box 871
Charleston, AR 72933-0871
Phone (479) 965-6752

Other providers in Charleston, AR

All providers in Charleston, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.