Provider Demographics
NPI:1477030468
Name:ROGERS, HANNA QEDAN (OT)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:QEDAN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 MAIN ST # 340
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-3484
Mailing Address - Country:US
Mailing Address - Phone:479-790-1270
Mailing Address - Fax:479-790-1270
Practice Address - Street 1:3721 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35222-2409
Practice Address - Country:US
Practice Address - Phone:205-939-1088
Practice Address - Fax:501-327-1738
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3158225X00000X
AL6445225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist