Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 4333 | CT |
N | 225XE0001X | Environmental Modification | 4333 | CT |
N | 225XF0002X | Feeding, Eating & Swallowing | 4333 | CT |
Y | 225XG0600X | Occupational Therapist - Gerontology | 4333 | CT |
N | 2251H1300X | Human Factors | 4333 | CT |
N | 225XH1300X | Human Factors | 4333 | CT |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4333 | CT |
NPI | 1356795942 |
---|---|
Provider Name | Donna Hoover |
First Address | South Windsor, CT 06074-1560 |
Second Address | Chester, CT 06412-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2016 |
Last Update Date | 20/04/2016 |