MEDICARE: CHARA HOFFMAN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1218126	TX

General Provider Information

NPI Number	:	1447659040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARA HOFFMAN DPT

Provider Business Mailing Address
First Line	:	405 HAWTHORNE ST APT 17
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 HAWTHORNE ST APT 17
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4043
Country	:	US
Telephone Number	:	713-334-1818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	08/19/2014

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Directions to “ CHARA HOFFMAN DPT” Practice Location

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