Provider Demographics
NPI:1225925852
Name:O'NEAL, HANNAH (OTR-/L)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:OTR-/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 HUCKLEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MOSS POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39562-2203
Mailing Address - Country:US
Mailing Address - Phone:228-400-9992
Mailing Address - Fax:228-460-5120
Practice Address - Street 1:744 WINTER ST
Practice Address - Street 2:
Practice Address - City:LUCEDALE
Practice Address - State:MS
Practice Address - Zip Code:39452-5728
Practice Address - Country:US
Practice Address - Phone:228-400-9992
Practice Address - Fax:228-460-5120
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT-3435225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist