Provider Demographics
NPI:1063740769
Name:HOCKMAN, KATHLEEN MEGHAN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:MEGHAN
Last Name:HOCKMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:MEGHAN
Other - Last Name:BROPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:56 WEST FREDERICK STREET
Mailing Address - Street 2:
Mailing Address - City:WALKERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21793
Mailing Address - Country:US
Mailing Address - Phone:301-898-4321
Mailing Address - Fax:301-898-4343
Practice Address - Street 1:56 WEST FREDERICK STREET
Practice Address - Street 2:
Practice Address - City:WALKERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21793
Practice Address - Country:US
Practice Address - Phone:301-898-4321
Practice Address - Fax:301-898-4343
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-18
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06236225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist