Provider Demographics
NPI:1942958954
Name:HOESCHEN, OLIVIA ELIZABETH
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ELIZABETH
Last Name:HOESCHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9303 CRESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374-9637
Mailing Address - Country:US
Mailing Address - Phone:320-267-8222
Mailing Address - Fax:
Practice Address - Street 1:9303 CRESTVIEW DR
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374-9637
Practice Address - Country:US
Practice Address - Phone:320-267-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty