Individual
MATTHEW ALLEN HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
700 GENEVA PKWY N, LAKE GENEVA, WI 53147-4594
(262) 249-3500
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.018066
IL
225100000X
Physical Therapist
Primary
11652-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100031530
—
WI
Enumeration date
04/18/2006
Last updated
08/16/2023
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