Provider Demographics
NPI:1609651447
Name:HOYT, KRISTEN A (OTR/L, M ED)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:A
Last Name:HOYT
Suffix:
Gender:F
Credentials:OTR/L, M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 E RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-5405
Mailing Address - Country:US
Mailing Address - Phone:860-922-3415
Mailing Address - Fax:
Practice Address - Street 1:241 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-5405
Practice Address - Country:US
Practice Address - Phone:860-922-3415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002215225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist