Provider Demographics
NPI:1609919570
Name:HOFFMAN, ROBIN LONG (OTR)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:LONG
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 1:339 FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5746
Mailing Address - Country:US
Mailing Address - Phone:913-219-6457
Mailing Address - Fax:303-362-1845
Practice Address - Street 1:339 FAIRFAX ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-5746
Practice Address - Country:US
Practice Address - Phone:913-219-6457
Practice Address - Fax:303-362-1845
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00793225XP0200X
MOOC001580225XP0200X
COOT.0004184225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics