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NPI Code Detail

MEDICARE: MRS. KRISTIN MARIE HOFFMAN PTA

MEDICARE: MRS. KRISTIN MARIE HOFFMAN PTA
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
1225200000XPhysical Therapy AssistantTE007712PA
2225200000XPhysical Therapy AssistantTEI001379PA

General Provider Information

NPI Number : 1356540355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN MARIE HOFFMAN PTA
Provider Business Mailing Address
First Line : 200 WREN CT
Second Line :
City : DOWNINGTOWN
State : PA
Zip : 19335-3371
Country : US
Telephone Number : 484-889-6395
Fax Number :
Provider Business Practice Location Address
First Line : 1200 TEL HAI CIR
Second Line :
City : HONEY BROOK
State : PA
Zip : 19344-1271
Country : US
Telephone Number : 610-273-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 09/21/2020

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