Provider Demographics
NPI:1992889372
Name:HOKE, REBECCA DIANE (ATC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:DIANE
Last Name:HOKE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:DIANE
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:280 SILVER MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT WOLF
Mailing Address - State:PA
Mailing Address - Zip Code:17347-8905
Mailing Address - Country:US
Mailing Address - Phone:717-755-4147
Mailing Address - Fax:717-252-6219
Practice Address - Street 1:720 COOL CREEK RD
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17368
Practice Address - Country:US
Practice Address - Phone:717-252-1551
Practice Address - Fax:717-252-6219
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART002292A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22OtherRESPIRATORY, REHABILITATI