Healthcare Provider Details

I. General information

NPI: 1093835738
Provider Name (Legal Business Name): JULIE K HOFFMAN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE K DUNHAM PT

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 04/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

557 VARNUM AVE
LOWELL MA
01854-2137
US

IV. Provider business mailing address

50 LUCE ST
LOWELL MA
01852-3012
US

V. Phone/Fax

Practice location:
  • Phone: 978-454-5444
  • Fax:
Mailing address:
  • Phone: 978-937-0055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11234
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: