Healthcare Provider Details

I. General information

NPI: 1770737116
Provider Name (Legal Business Name): JONI HOBART-ADIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 LEVAN STREET
KINGSTON NY
12401
US

IV. Provider business mailing address

46 LEVAN STREET
KINGSTON NY
12401
US

V. Phone/Fax

Practice location:
  • Phone: 845-339-9677
  • Fax:
Mailing address:
  • Phone: 845-339-9677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number014655-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: