| NPI | 1740666783 |
|---|---|
| Former Name | KELLY HOFFMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05013765A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2015027172) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2022-03-09 |