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Misti D. Hoffman

Physical Therapy Assistant in Peoria, IL. Individual provider (NPI-1).

NPI number1679747653
StatusActive
Last updated in NPPESApr 21, 2008

Details

NPI
1679747653
Entity type
Individual (NPI-1)
Name
Misti D. Hoffman
Sex
Female
Sole proprietor
No
Enumeration date
Apr 21, 2008
Last updated
Apr 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant160.000868ILYes

Practice location

6501 N Sheridan Rd
Peoria, IL 61614-2932

Phone 309-692-8110

Mailing address

6322 N Heather Oak Dr
Peoria, IL 61615-2220

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