Individual
SUSAN MARIE HOFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
16027 AUTUMN OAKS CIR, ELLISVILLE, MO 63021-5987
(636) 256-4560
Mailing address
16027 AUTUMN OAKS CIR, ELLISVILLE, MO 63021-5987
(636) 256-4560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00313
MO
Other
Enumeration date
01/29/2007
Last updated
08/29/2007
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