Provider Demographics
NPI:1790474591
Name:HARBISON, HANNAH (COTA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HARBISON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 IRON EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-6002
Mailing Address - Country:US
Mailing Address - Phone:325-733-5216
Mailing Address - Fax:
Practice Address - Street 1:134 IRON EAGLE RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-6002
Practice Address - Country:US
Practice Address - Phone:325-733-5216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant