Provider Demographics
NPI:1306081005
Name:HOFF, LINDSAY MARIE (MS/OTR)
Entity type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:MARIE
Last Name:HOFF
Suffix:
Gender:F
Credentials:MS/OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N59W24070 CLOVER DR
Mailing Address - Street 2:APT. 150
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-4611
Mailing Address - Country:US
Mailing Address - Phone:920-948-7958
Mailing Address - Fax:262-821-3944
Practice Address - Street 1:1755 N BARKER RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-1801
Practice Address - Country:US
Practice Address - Phone:262-821-3939
Practice Address - Fax:262-821-3944
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4675-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist