Healthcare Provider Details

I. General information

NPI: 1386889558
Provider Name (Legal Business Name): CORINNE ANN HOFFMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2008
Last Update Date: 12/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8102 SILVER PALM CT
TAMARAC FL
33321-2728
US

IV. Provider business mailing address

8102 SILVER PALM CT
TAMARAC FL
33321-2728
US

V. Phone/Fax

Practice location:
  • Phone: 954-234-1874
  • Fax:
Mailing address:
  • Phone: 954-234-1874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT10461
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: