Provider Demographics
NPI:1316178593
Name:HOFF, KAMAREE LEIGH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KAMAREE
Middle Name:LEIGH
Last Name:HOFF
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:KAMAREE
Other - Middle Name:LEIGH
Other - Last Name:MAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:7762 HAVENBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-3447
Mailing Address - Country:US
Mailing Address - Phone:269-744-6911
Mailing Address - Fax:
Practice Address - Street 1:3152 PEREGRINE NE
Practice Address - Street 2:SUITE 115
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525
Practice Address - Country:US
Practice Address - Phone:616-643-0833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004865225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist