Healthcare Provider Details

I. General information

NPI: 1811277791
Provider Name (Legal Business Name): SARA MARIE HOFFMAN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 E JEFFERSON ST STE 302
IOWA CITY IA
52245-2460
US

IV. Provider business mailing address

2401 TOWNCREST DR
IOWA CITY IA
52240-6631
US

V. Phone/Fax

Practice location:
  • Phone: 319-339-3611
  • Fax: 319-339-3878
Mailing address:
  • Phone: 319-354-2429
  • Fax: 319-354-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004380
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: