Healthcare Provider Details

I. General information

NPI: 1801786892
Provider Name (Legal Business Name): JANET MARIE HOFFMANN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 SPRING ST
MOUNT PLEASANT WI
53405-1667
US

IV. Provider business mailing address

3811 SPRING ST
MOUNT PLEASANT WI
53405-1667
US

V. Phone/Fax

Practice location:
  • Phone: 262-687-5374
  • Fax: 414-687-6775
Mailing address:
  • Phone: 262-687-5374
  • Fax: 414-687-6775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1905-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: