Individual
HEATHER HOFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 D STREET, PIONEER PLACE, VALE, OR 97918
(541) 473-3131
Mailing address
1952 WESTRIDGE DR, ONTARIO, OR 97914-1350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1080
ID
224Z00000X
Occupational Therapy Assistant
Primary
286242
OR
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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