Provider Demographics
NPI:1750829669
Name:HOKE, ALEXANDRA (OTR/L MS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:HOKE
Suffix:
Gender:F
Credentials:OTR/L MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 PERIMETER PARK DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1317
Mailing Address - Country:US
Mailing Address - Phone:770-393-9901
Mailing Address - Fax:
Practice Address - Street 1:2320 PERIMETER PARK DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-1317
Practice Address - Country:US
Practice Address - Phone:770-393-9901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT006554225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics