Provider Demographics
NPI:1578628897
Name:HOCKETT, ERIN S (OT, MHS)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:S
Last Name:HOCKETT
Suffix:
Gender:F
Credentials:OT, MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 FAIRHEATH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3214
Mailing Address - Country:US
Mailing Address - Phone:704-554-1832
Mailing Address - Fax:866-643-9148
Practice Address - Street 1:4833 FAIRHEATH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3214
Practice Address - Country:US
Practice Address - Phone:704-554-1832
Practice Address - Fax:866-643-9148
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301639Medicaid