Provider Demographics
NPI:1740076520
Name:DAVIS, HANNAH GRACE (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:GRACE
Last Name:DAVIS
Suffix:
Gender:
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8789 CARDINAL FOREST CIR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1257
Mailing Address - Country:US
Mailing Address - Phone:443-535-5470
Mailing Address - Fax:
Practice Address - Street 1:3399 BRODHEAD RD
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1261
Practice Address - Country:US
Practice Address - Phone:724-888-2548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist