Individual
MARY MICHELLE HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MLS, OTR/L
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2599
(314) 989-8465
Mailing address
715 GONZAGA LN, FLORISSANT, MO 63031-7219
(314) 803-9303
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000373
MO
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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