Provider Demographics
NPI:1912400227
Name:HOOVER, JAMIE PAUL (MOT OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JAMIE
Middle Name:PAUL
Last Name:HOOVER
Suffix:
Gender:M
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 STACEY CT
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-2055
Mailing Address - Country:US
Mailing Address - Phone:814-243-2590
Mailing Address - Fax:
Practice Address - Street 1:450 RADIO LN
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-1521
Practice Address - Country:US
Practice Address - Phone:540-825-3677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003971225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist