Provider Demographics
NPI:1912055740
Name:HOARD, BETH ANN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:HOARD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:COWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:401 SAVANNAH LANE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-9447
Mailing Address - Country:US
Mailing Address - Phone:317-513-3893
Mailing Address - Fax:317-399-5678
Practice Address - Street 1:8480 CRAIG ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-4745
Practice Address - Country:US
Practice Address - Phone:317-284-7027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002215A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200707090OtherFIRST STEPS
IN200607680OtherFIRST STEPS