Provider Demographics
NPI:1407010259
Name:HOYLE, KATHY L (COTA-L)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:HOYLE
Suffix:
Gender:F
Credentials:COTA-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10032 TREESIDE LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-7223
Mailing Address - Country:US
Mailing Address - Phone:704-573-4477
Mailing Address - Fax:
Practice Address - Street 1:3029 SENNA DR
Practice Address - Street 2:514 OLD HWY 27 STANLEY NC 28164
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-9412
Practice Address - Country:US
Practice Address - Phone:704-263-5353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2528224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant