Provider Demographics
NPI:1407062284
Name:HOFFMAN, HEATHER ARLENE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ARLENE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 AUTUMN LN
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-9758
Mailing Address - Country:US
Mailing Address - Phone:828-994-0407
Mailing Address - Fax:
Practice Address - Street 1:1044 AUTUMN LN
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-9758
Practice Address - Country:US
Practice Address - Phone:828-994-0407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4713225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist