Provider Demographics
NPI:1851712509
Name:HOSTLER, JOSEPH (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:HOSTLER
Suffix:
Gender:M
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 1:250 PANTOPS MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8686
Mailing Address - Country:US
Mailing Address - Phone:434-972-2622
Mailing Address - Fax:
Practice Address - Street 1:250 PANTOPS MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8686
Practice Address - Country:US
Practice Address - Phone:434-972-2622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005977225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist