Provider Demographics
NPI:1194021097
Name:HOFFMAN, CHERYL A (OTR)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:AARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:9730 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3245
Mailing Address - Country:US
Mailing Address - Phone:718-459-6279
Mailing Address - Fax:718-275-8220
Practice Address - Street 1:9730 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3245
Practice Address - Country:US
Practice Address - Phone:718-459-6279
Practice Address - Fax:718-275-8220
Is Sole Proprietor?:No
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2781225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics