Provider Demographics
NPI:1356805535
Name:HOFFMAN, PATRICIA A (COTA/L)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25462 COUNTY ROAD 414
Mailing Address - Street 2:
Mailing Address - City:KAHOKA
Mailing Address - State:MO
Mailing Address - Zip Code:63445-1931
Mailing Address - Country:US
Mailing Address - Phone:660-341-9664
Mailing Address - Fax:
Practice Address - Street 1:25462 COUNTY ROAD 414
Practice Address - Street 2:
Practice Address - City:KAHOKA
Practice Address - State:MO
Practice Address - Zip Code:63445-1931
Practice Address - Country:US
Practice Address - Phone:660-341-9664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant