Healthcare Provider Details

I. General information

NPI: 1609919570
Provider Name (Legal Business Name): ROBIN LONG HOFFMAN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 01/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 FAIRFAX ST
DENVER CO
80220-5746
US

IV. Provider business mailing address

339 FAIRFAX ST
DENVER CO
80220-5746
US

V. Phone/Fax

Practice location:
  • Phone: 913-219-6457
  • Fax: 303-362-1845
Mailing address:
  • Phone: 913-219-6457
  • Fax: 303-362-1845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number17-00793
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC001580
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0004184
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: