Provider Demographics
NPI:1346824828
Name:HOEVENAAR, CORINNE (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:HOEVENAAR
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOTR/L
Mailing Address - Street 1:11233 78TH LN E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-2827
Mailing Address - Country:US
Mailing Address - Phone:309-264-0158
Mailing Address - Fax:
Practice Address - Street 1:3503 14TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-6290
Practice Address - Country:US
Practice Address - Phone:941-201-6055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology