Provider Demographics
NPI:1164531133
Name:HOTIN, HENRY A (PT)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:A
Last Name:HOTIN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 105
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:NH
Mailing Address - Zip Code:03033-0105
Mailing Address - Country:US
Mailing Address - Phone:617-666-8800
Mailing Address - Fax:
Practice Address - Street 1:13 CALDWELL DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2308
Practice Address - Country:US
Practice Address - Phone:603-889-8092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3285225100000X
NH1310225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist