Healthcare Provider Details

I. General information

NPI: 1598996209
Provider Name (Legal Business Name): HAROLD NATHAN HOFFMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7331 E OSBORN DR SUITE 410
SCOTTSDALE AZ
85251-6435
US

IV. Provider business mailing address

7331 E OSBORN DR SUITE 410
SCOTTSDALE AZ
85251-6435
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-0409
  • Fax: 877-375-0934
Mailing address:
  • Phone: 480-443-0409
  • Fax: 877-375-0934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8583
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: