Provider Demographics
NPI:1437308632
Name:HOFFMAN, GINNY K (MS,OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:GINNY
Middle Name:K
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SCHIMWOOD CT
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1346
Mailing Address - Country:US
Mailing Address - Phone:716-688-8402
Mailing Address - Fax:
Practice Address - Street 1:12 SCHIMWOOD CT
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1346
Practice Address - Country:US
Practice Address - Phone:716-688-8402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012399-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist