Individual
MS. LINDA J HOCKENSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4214 SHERIDAN ROAD, RACINE, WI 53403
(262) 554-5006
Mailing address
S76W17124 DEER CREEK CT, MUSKEGO, WI 53150-7749
(414) 422-1132
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2664
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40795600
—
WI
Enumeration date
02/13/2007
Last updated
07/08/2007
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