| NPI | 1134771421 |
|---|---|
| Former Name | AMANDA HOFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-11-16 |