Individual
SHANNON ENID HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6606 CARNEGIE AVE, CLEVELAND, OH 44103-4622
(216) 361-1414
Mailing address
1323 BROCKLEY AVE, LAKEWOOD, OH 44107-2440
(216) 254-7969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-2307
OH
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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