Provider Demographics
NPI:1093083198
Name:HOFFER, JESSICA PARKES (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:PARKES
Last Name:HOFFER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 W CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:MYERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17067-1506
Mailing Address - Country:US
Mailing Address - Phone:610-751-2391
Mailing Address - Fax:
Practice Address - Street 1:1829 NEW HOLLAND RD
Practice Address - Street 2:SUITE 13
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-2229
Practice Address - Country:US
Practice Address - Phone:610-301-3259
Practice Address - Fax:610-621-4539
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011738225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist