Individual
AMANDA JANE HOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
402 MOONWALK ST, MONTGOMERY, TX 77356-4715
(512) 203-2106
Mailing address
402 MOONWALK ST, MONTGOMERY, TX 77356-4715
(512) 203-2106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
112187
TX
225XN1300X
Neurorehabilitation Occupational Therapist
112187
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
112187
TX
Other
Enumeration date
10/26/2010
Last updated
08/30/2024
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