Provider Demographics
NPI:1275007080
Name:COCHRAN, HANNAH (COTA/L)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2152 CALIFORNIA RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16950-8828
Mailing Address - Country:US
Mailing Address - Phone:570-916-7386
Mailing Address - Fax:
Practice Address - Street 1:15900 US-6
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:PA
Practice Address - Zip Code:16947
Practice Address - Country:US
Practice Address - Phone:570-297-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP008629224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant