Provider Demographics
NPI:1891423158
Name:FAULKNER, HANNAH BOONE (COTA/L)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:BOONE
Last Name:FAULKNER
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 1:48065 US HIGHWAY 78
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:AL
Mailing Address - Zip Code:35096-6769
Mailing Address - Country:US
Mailing Address - Phone:256-770-2429
Mailing Address - Fax:
Practice Address - Street 1:48065 US HIGHWAY 78
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:AL
Practice Address - Zip Code:35096-6769
Practice Address - Country:US
Practice Address - Phone:256-770-2429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-12
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5773224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant