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NPI Code Detail

MEDICARE: MRS. ANDREA THERESA HOEHN MOT OTR/L

MEDICARE: MRS. ANDREA THERESA HOEHN MOT OTR/L
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
1225X00000XOccupational Therapist2006002993MO

General Provider Information

NPI Number : 1245340371
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA THERESA HOEHN MOT OTR/L
Provider Business Mailing Address
First Line : 2907 WOODS CROSSING DR
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-5729
Country : US
Telephone Number : 573-474-2304
Fax Number :
Provider Business Practice Location Address
First Line : 1420 W ASHLEY RD
Second Line :
City : BOONVILLE
State : MO
Zip : 65233-2112
Country : US
Telephone Number : 660-882-6115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 10/24/2007

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