Provider Demographics
NPI:1073182556
Name:BISHOP, HANNAH ELIZABETH COFFEY (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH COFFEY
Last Name:BISHOP
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ELIZABETH
Other - Last Name:COFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1791 MARBLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3865
Mailing Address - Country:US
Mailing Address - Phone:540-221-0058
Mailing Address - Fax:
Practice Address - Street 1:1589 PORT REPUBLIC RD STE 4
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-3517
Practice Address - Country:US
Practice Address - Phone:540-227-0268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119009064225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist