Provider Demographics
NPI:1760735609
Name:HOSKINS, ANDREA KAY (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:KAY
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-0008
Mailing Address - Country:US
Mailing Address - Phone:360-662-1040
Mailing Address - Fax:
Practice Address - Street 1:10126 FRONTIER PL NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9408
Practice Address - Country:US
Practice Address - Phone:360-662-1040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 00002301225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics