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NPI Code Detail

MEDICARE: MRS. CATHERINE HOOVER-SMITH PT

MEDICARE: MRS. CATHERINE HOOVER-SMITH PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3636MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2Y65215OTHERMABLUE SHIELD
3303684OTHERMATUFTS

General Provider Information

NPI Number : 1346228558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE HOOVER-SMITH PT
Provider Business Mailing Address
First Line : 110 HOBBS RD
Second Line :
City : PRINCETON
State : MA
Zip : 01541-1019
Country : US
Telephone Number : 508-832-2628
Fax Number : 508-832-2629
Provider Business Practice Location Address
First Line : 319A SOUTHBRIDGE ST
Second Line :
City : AUBURN
State : MA
Zip : 01501-2598
Country : US
Telephone Number : 508-832-2628
Fax Number : 508-832-2629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 03/20/2012

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Directions to “ MRS. CATHERINE HOOVER-SMITH PT” Practice Location

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