Provider Demographics
NPI:1427367838
Name:HOEHLEIN, JAMIE MICHELLE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:MICHELLE
Last Name:HOEHLEIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:JAMIE
Other - Middle Name:MICHELLE
Other - Last Name:HOEHLEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:31 EDWARDS ST APT T
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1270
Mailing Address - Country:US
Mailing Address - Phone:516-236-7423
Mailing Address - Fax:
Practice Address - Street 1:31 EDWARDS ST APT T
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1270
Practice Address - Country:US
Practice Address - Phone:516-236-7423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012175-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist