Provider Demographics
NPI:1043463508
Name:HOBBS, NICOLE DAVINA (MOT, OTR/L, CLT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:DAVINA
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MOT, OTR/L, CLT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:DAVINA
Other - Last Name:STEELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:163 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1245
Mailing Address - Country:US
Mailing Address - Phone:717-248-3941
Mailing Address - Fax:
Practice Address - Street 1:163 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1245
Practice Address - Country:US
Practice Address - Phone:717-248-3941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010519225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist