Individual
KEVIN RAY HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
602 TOURNAMENT DR, AVON LAKE, OH 44012-2284
(440) 221-0444
Mailing address
602 TOURNAMENT DR, AVON LAKE, OH 44012-2284
(440) 221-0444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00062
OH
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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