Individual
ALYSSA HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Mailing address
53880 CARMICHAEL DR, SOUTH BEND, IN 46635-1567
(574) 247-9441
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005761A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06005761A
PTA LICENSE
IN
Enumeration date
11/17/2021
Last updated
11/17/2021
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