Provider Demographics
NPI:1346228558
Name:HOOVER-SMITH, CATHERINE (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:HOOVER-SMITH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HOBBS RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MA
Mailing Address - Zip Code:01541-1019
Mailing Address - Country:US
Mailing Address - Phone:508-832-2628
Mailing Address - Fax:508-832-2629
Practice Address - Street 1:319A SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2598
Practice Address - Country:US
Practice Address - Phone:508-832-2628
Practice Address - Fax:508-832-2629
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0375128Medicaid
MAY65215OtherBLUE SHIELD
MA303684OtherTUFTS
MA303684OtherTUFTS