MEDICARE: MRS. ERIN S. HOCKETT OT, MHS

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
1	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578628897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN S. HOCKETT OT, MHS

Provider Business Mailing Address
First Line	:	4833 FAIRHEATH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3214
Country	:	US
Telephone Number	:	704-554-1832
Fax Number	:	866-643-9148

Provider Business Practice Location Address
First Line	:	4833 FAIRHEATH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3214
Country	:	US
Telephone Number	:	704-554-1832
Fax Number	:	866-643-9148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	11/12/2008

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