Healthcare Provider Details

I. General information

NPI: 1356581938
Provider Name (Legal Business Name): MARTYNE CHRISTIANNE HOFLE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SE 24TH RD
OCALA FL
34471-6003
US

IV. Provider business mailing address

2222 SULLIVAN TRL
EASTON PA
18040-7958
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-9696
  • Fax: 352-622-3763
Mailing address:
  • Phone: 800-944-9782
  • Fax: 610-438-2024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT17480
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: