Healthcare Provider Details

I. General information

NPI: 1841482254
Provider Name (Legal Business Name): JENNIFER HOXIE OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2007
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 SCHOOL STREET
HILLSBOROUGH NH
03244
US

IV. Provider business mailing address

9 SHERWOOD MDWS
PEMBROKE NH
03275-1104
US

V. Phone/Fax

Practice location:
  • Phone: 603-464-5561
  • Fax:
Mailing address:
  • Phone: 603-485-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1683
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7578
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: