MEDICARE: MRS. BARBARA LEE HOFMANN OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	AA136960	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336247923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA LEE HOFMANN OTR

Provider Business Mailing Address
First Line	:	1750 30TH ST
Second Line	:	#516
City	:	BOULDER
State	:	CO
Zip	:	80301
Country	:	US
Telephone Number	:	303-449-2759
Fax Number	:	303-449-6291

Provider Business Practice Location Address
First Line	:	1510 OAK AVE
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-1254
Country	:	US
Telephone Number	:	303-449-2759
Fax Number	:	303-449-6291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/08/2011

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