Provider Demographics
NPI:1619023884
Name:HOTZ, LINDA TERESA (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:TERESA
Last Name:HOTZ
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2864 WHISPERING SHORES DR
Mailing Address - Street 2:
Mailing Address - City:VERMILION
Mailing Address - State:OH
Mailing Address - Zip Code:44089-2588
Mailing Address - Country:US
Mailing Address - Phone:440-963-0304
Mailing Address - Fax:440-963-2050
Practice Address - Street 1:4210 TELEGRAPH LN
Practice Address - Street 2:
Practice Address - City:VERMILION
Practice Address - State:OH
Practice Address - Zip Code:44089-3748
Practice Address - Country:US
Practice Address - Phone:440-967-1800
Practice Address - Fax:440-976-0122
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2622225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant