Provider Demographics
NPI:1720238926
Name:HOYT, KRISTEN ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ANN
Last Name:HOYT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12345 W 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-4307
Mailing Address - Country:US
Mailing Address - Phone:760-519-2963
Mailing Address - Fax:
Practice Address - Street 1:1070 S SANTA FE AVE STE 26A
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-7053
Practice Address - Country:US
Practice Address - Phone:760-277-3465
Practice Address - Fax:760-945-6535
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2022-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT10126225X00000X
COOT.0002837225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist