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NPI Code Detail

MEDICARE: HEATHER HOFFMAN

MEDICARE: HEATHER HOFFMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1104265552
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER HOFFMAN
Provider Business Mailing Address
First Line : 219 EASTON RD
Second Line :
City : HERMITAGE
State : PA
Zip : 16148-3545
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3060 SE STARK ST
Second Line :
City : PORTLAND
State : OR
Zip : 97214-3053
Country : US
Telephone Number : 503-200-2475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 06/19/2013

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Directions to “ HEATHER HOFFMAN ” Practice Location

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