Healthcare Provider Details

I. General information

NPI: 1306146600
Provider Name (Legal Business Name): PATRICIA HOVE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2010
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S BRYN MAWR AVE SUITE 300
BRYN MAWR PA
19010-3120
US

IV. Provider business mailing address

419 SYLVANIA AVE
FOLSOM PA
19033-1812
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-1000
  • Fax: 610-525-1001
Mailing address:
  • Phone: 610-525-1000
  • Fax: 610-525-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC001686L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: