Provider Demographics
NPI:1821635897
Name:HOCHARD, ANDREA LYNN (PTA)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:HOCHARD
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
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Mailing Address - Street 1:12200 ANNAPOLIS RD SUITE 123
Mailing Address - Street 2:
Mailing Address - City:SUITE 123
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9182
Mailing Address - Country:US
Mailing Address - Phone:301-364-9292
Mailing Address - Fax:301-552-9743
Practice Address - Street 1:251 NATIONAL HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-1052
Practice Address - Country:US
Practice Address - Phone:301-364-9292
Practice Address - Fax:301-552-9743
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2019-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDA4467225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant