Healthcare Provider Details
I. General information
NPI: 1346554789
Provider Name (Legal Business Name): VALERIE I. HOKE O.T.R. C.H.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/27/2010
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4310 JAMES CASEY ST SUITE 3C
AUSTIN TX
78745-1251
US
IV. Provider business mailing address
PO BOX 42680
AUSTIN TX
78704-0043
US
V. Phone/Fax
- Phone: 512-441-6008
- Fax: 512-326-2805
- Phone: 512-441-6008
- Fax: 512-326-2805
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 113068 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | 113068 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: