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NPI Code Detail

MEDICARE: SHANNON L HOFFMAN DPT

MEDICARE:   SHANNON L HOFFMAN  DPT
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 Therapist39169CA

General Provider Information

NPI Number : 1750774717
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON L HOFFMAN DPT
Provider Business Mailing Address
First Line : 1340 35TH ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-5308
Country : US
Telephone Number : 916-936-1878
Fax Number :
Provider Business Practice Location Address
First Line : 3400 ELVAS AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-1913
Country : US
Telephone Number : 916-936-1878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2015
Last Update Date : 04/07/2015

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Directions to “ SHANNON L HOFFMAN DPT” Practice Location

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