Individual
MIRIAM HOFFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3900 STEARNS AVE, GRANITE CITY, IL 62040-4154
(618) 931-3900
Mailing address
1010 ENCLAVE BLVD APT 501, EDWARDSVILLE, IL 62025-2728
(815) 708-2319
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014423
IL
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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