Provider Demographics
NPI:1194882712
Name:HOFFMAN, SHAY LAUREN (OTR L)
Entity type:Individual
Prefix:MS
First Name:SHAY
Middle Name:LAUREN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1484 VILLAGE GREENE BLVD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-3678
Mailing Address - Country:US
Mailing Address - Phone:267-918-7873
Mailing Address - Fax:
Practice Address - Street 1:1484 VILLAGE GREENE BLVD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-3678
Practice Address - Country:US
Practice Address - Phone:267-918-7873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009490225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist