Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT 1003 | CA |
NPI | 1003931080 |
---|---|
Provider Name | Stephanie Hoffman |
First Address | Torrance, CA 90502-1029 |
Second Address | Torrance, CA 90502-1029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 17/03/2016 |