Provider Demographics
NPI:1770471328
Name:HWANG, HANNAH JEAN
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JEAN
Last Name:HWANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 BARKLEY DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-2743
Mailing Address - Country:US
Mailing Address - Phone:703-310-9177
Mailing Address - Fax:
Practice Address - Street 1:3204 BARKLEY DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-2743
Practice Address - Country:US
Practice Address - Phone:703-310-9177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist