Provider Demographics
NPI:1487246989
Name:NEWLON, HANNAH KATHERINE (OTR/L)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:KATHERINE
Last Name:NEWLON
Suffix:
Gender:F
Credentials: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:PO B0X 2274
Mailing Address - Street 2:285 S ARCHIE STREET
Mailing Address - City:VIDOR
Mailing Address - State:TX
Mailing Address - Zip Code:77662
Mailing Address - Country:US
Mailing Address - Phone:571-423-9526
Mailing Address - Fax:
Practice Address - Street 1:415 HIGHWAY 327 W
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-4799
Practice Address - Country:US
Practice Address - Phone:409-980-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119158225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist