Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT 24881 | FL |
NPI | 1003140310 |
---|---|
Provider Name | Ms. Carolyn Joyce Hoffman |
First Address | Plant City, FL 33563-7126 |
Second Address | Plant City, FL 33563-7126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2009 |
Last Update Date | 21/09/2009 |