Healthcare Provider Details

I. General information

NPI: 1851119184
Provider Name (Legal Business Name): ROBYN ELIZABETH HOFSTETTER CTRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 UNION ST
KINGSTON NJ
08528-9013
US

IV. Provider business mailing address

12 UNION ST
KINGSTON NJ
08528-9013
US

V. Phone/Fax

Practice location:
  • Phone: 973-967-0154
  • Fax:
Mailing address:
  • Phone: 973-967-0154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number86787
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: