Individual
MRS. JANEL MACHO HOFSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
602 TOURNAMENT DR, AVON LAKE, OH 44012-2284
(440) 555-1234
Mailing address
21341 CASTLEWOOD DR, STRONGSVILLE, OH 44149-1391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005840
OH
Other
Enumeration date
05/18/2007
Last updated
08/27/2009
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