Provider Demographics
NPI:1356229587
Name:KOBAL, HANNA (OTR/L)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:KOBAL
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 1:2650 OCEAN PKWY APT 6R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7738
Mailing Address - Country:US
Mailing Address - Phone:929-238-3226
Mailing Address - Fax:
Practice Address - Street 1:2955 BRIGHTON 4TH ST STE 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8541
Practice Address - Country:US
Practice Address - Phone:718-509-4909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030132225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist