Provider Demographics
NPI:1942402862
Name:HOFFMAN, LORI ANN (OTRL)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ANN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 BUCK RAM CIR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-8200
Mailing Address - Country:US
Mailing Address - Phone:901-848-9081
Mailing Address - Fax:
Practice Address - Street 1:3250 BUCK RAM CIR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-8200
Practice Address - Country:US
Practice Address - Phone:901-848-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist