Provider Demographics
NPI:1396967444
Name:HOFMAN, ELIZABETH MCGRAW (OTR L MS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MCGRAW
Last Name:HOFMAN
Suffix:
Gender:F
Credentials:OTR L MS
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:MCGRAW
Other - Last Name:HOFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR L MS
Mailing Address - Street 1:10708 BRENTWOOD DR
Mailing Address - Street 2:APT 3A
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-4753
Mailing Address - Country:US
Mailing Address - Phone:402-490-2959
Mailing Address - Fax:
Practice Address - Street 1:1702 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-3652
Practice Address - Country:US
Practice Address - Phone:402-682-4214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1013225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist