Healthcare Provider Details

I. General information

NPI: 1356795942
Provider Name (Legal Business Name): DONNA HOOVER MS, OTR/L, LSVT/C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2016
Last Update Date: 04/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 BOKUM RD
CHESTER CT
06412-1304
US

IV. Provider business mailing address

183 WOOD POND RD
SOUTH WINDSOR CT
06074-1560
US

V. Phone/Fax

Practice location:
  • Phone: 860-416-1708
  • Fax: 860-526-1043
Mailing address:
  • Phone: 860-416-1708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224ZL0004X
TaxonomyLow Vision Occupational Therapy Assistant
License Number4333
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4333
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number4333
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number4333
License Number StateCT
# 5
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number4333
License Number StateCT
# 6
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License Number4333
License Number StateCT
# 7
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number4333
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: