Provider Demographics
NPI:1760681589
Name:HOFER, ESTHER VERENA (OT)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:VERENA
Last Name:HOFER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S ANDREASEN DR
Mailing Address - Street 2:STE C
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-1917
Mailing Address - Country:US
Mailing Address - Phone:760-591-7750
Mailing Address - Fax:760-294-9813
Practice Address - Street 1:9830 PROSPECT AVE
Practice Address - Street 2:STE A
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4375
Practice Address - Country:US
Practice Address - Phone:619-448-4860
Practice Address - Fax:619-448-1639
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT465225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACS329YOtherMEDICARE
CACS329XOtherMEDICARE
CACS329ZOtherMEDICARE