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General NPI Number Information
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NPI Number | 1194223024
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Entity Type | Individual
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Provider Name | MRS. ALISSA HOFF
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Gender | Female
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Dates
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Enumeration Date | 01/25/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1595 MN 36 - 584 10 ROSEDALE CENTER
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City | ROSEVILLE
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State | MN
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Zip | 55113
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Country | US
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Telephone | 651-697-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 5405 10TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2413
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Country | US
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Telephone | 651-697-0030
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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