Healthcare Provider Details

I. General information

NPI: 1063572030
Provider Name (Legal Business Name): DEBORAH HOFMEISTER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MUIR RD
MARTINEZ CA
94553-4614
US

IV. Provider business mailing address

200 MUIR RD
MARTINEZ CA
94553-4614
US

V. Phone/Fax

Practice location:
  • Phone: 925-313-4823
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9527
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: