Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | PT000764E | PA |
NPI | 1245287705 |
---|---|
Provider Name | Mr. Steven A Hoffman |
First Address | Sewickley, PA 15143-8676 |
Second Address | Sewickley, PA 15143-8676 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 31/10/2007 |