Provider Demographics
NPI:1962954461
Name:MCTIER, HANNAH (OTR/L)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MCTIER
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 1:1230 PINEHURST RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-1129
Mailing Address - Country:US
Mailing Address - Phone:770-900-8445
Mailing Address - Fax:
Practice Address - Street 1:1003 GROVE RD
Practice Address - Street 2:SUITE E
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4623
Practice Address - Country:US
Practice Address - Phone:864-421-6222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4839225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist