Individual
HANNAH NICOLE PYATETSKIY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2302 N 15TH AVE, PHOENIX, AZ 85007-1201
(262) 894-7509
Mailing address
3102 E CAMPBELL AVE APT 8, PHOENIX, AZ 85016-5032
(262) 894-7509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-010081
AZ
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2024
Last updated
08/14/2025
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