Healthcare Provider Details

I. General information

NPI: 1154651289
Provider Name (Legal Business Name): WENDY H HOF OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2010
Last Update Date: 12/13/2022
Certification Date: 05/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OLD RTE 22
DOVER PLAINS NY
12522
US

IV. Provider business mailing address

37 VOLPI RD
BOLTON CT
06043-7548
US

V. Phone/Fax

Practice location:
  • Phone: 845-453-2385
  • Fax: 845-832-9265
Mailing address:
  • Phone: 860-670-4716
  • Fax: 860-432-3989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number004793
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code224ZF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapy Assistant
License Number000914
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: