Healthcare Provider Details

I. General information

NPI: 1225590854
Provider Name (Legal Business Name): TOBA RACHAEL HOFFMAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 ARON CT
SPRING VALLEY NY
10977-1516
US

IV. Provider business mailing address

6 ARON CT
SPRING VALLEY NY
10977-1516
US

V. Phone/Fax

Practice location:
  • Phone: 845-729-9282
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number294837
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: