Basic Information
Provider Information
NPI: 1154751824
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOOKS
FirstName: JAMIESON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 159 CHESHIRE CROSSING DR
Address2:  
City: DELAWARE
State: OH
PostalCode: 430158299
CountryCode: US
TelephoneNumber: 6169015308
FaxNumber: 7402018033
Practice Location
Address1: 2270 WARRENSBURG RD
Address2:  
City: DELAWARE
State: OH
PostalCode: 430151336
CountryCode: US
TelephoneNumber: 7403699614
FaxNumber: 7403635881
Other Information
ProviderEnumerationDate: 11/17/2013
LastUpdateDate: 11/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOT.008488OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225XG0600XOT.008488OHN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
225XP0200XOT.008488OHN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics

No ID Information.


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