Provider Demographics
NPI:1154651289
Name:HOF, WENDY H (OTR/L)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:H
Last Name:HOF
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 VOLPI RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:CT
Mailing Address - Zip Code:06043-7548
Mailing Address - Country:US
Mailing Address - Phone:860-670-4716
Mailing Address - Fax:860-432-3989
Practice Address - Street 1:OLD RTE 22
Practice Address - Street 2:
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522
Practice Address - Country:US
Practice Address - Phone:845-453-2385
Practice Address - Fax:845-832-9265
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004793225XP0200X
CT000914224ZF0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No224ZF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantFeeding, Eating & Swallowing
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTHN1774781OtherHEALTH NET