Provider Demographics
NPI:1477366474
Name:HOFFMAN, AMBER GRACE (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:GRACE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 N MALL DR UNIT 43
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-8218
Mailing Address - Country:US
Mailing Address - Phone:909-905-0886
Mailing Address - Fax:
Practice Address - Street 1:652 S MEDICAL CENTER DR LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7049
Practice Address - Country:US
Practice Address - Phone:435-251-6229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist