Individual
JAMES GORDON HOFIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
3165 FERNBROOK LN N, PLYMOUTH, MN 55447-5320
(763) 497-1153
Mailing address
3165 FERNBROOK LN N, PLYMOUTH, MN 55447-5320
(763) 710-4637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11052
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT29190A
P.T. LICENSE
CA
Enumeration date
09/25/2006
Last updated
07/10/2019
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