Individual
KAITLYN ASHLEY HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3175 SAINT ROSE PKWY STE 331, HENDERSON, NV 89052-3508
(702) 474-7212
(702) 474-7458
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-68101
IL
225X00000X
Occupational Therapist
Primary
OT-3320
NV
Other
Enumeration date
10/19/2018
Last updated
09/08/2023
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