MEDICARE: CAROL S HOBSON OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	OT 2296	FL
2	225X00000X	Occupational Therapist	OT2296	FL

General Provider Information

NPI Number	:	1235358516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL S HOBSON OTR

Provider Business Mailing Address
First Line	:	1197 COUNTY ROAD 309
Second Line	:
City	:	CRESCENT CITY
State	:	FL
Zip	:	32112-4813
Country	:	US
Telephone Number	:	386-467-8732
Fax Number	:

Provider Business Practice Location Address
First Line	:	1197 COUNTY ROAD 309
Second Line	:
City	:	CRESCENT CITY
State	:	FL
Zip	:	32112-4813
Country	:	US
Telephone Number	:	386-467-8732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	05/28/2021

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Directions to “ CAROL S HOBSON OTR” Practice Location

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