Provider Demographics
NPI:1093835738
Name:HOFFMAN, JULIE K (PT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:K
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:JULIE
Other - Middle Name:K
Other - Last Name:DUNHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:50 LUCE ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-3012
Mailing Address - Country:US
Mailing Address - Phone:978-937-0055
Mailing Address - Fax:
Practice Address - Street 1:557 VARNUM AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-2137
Practice Address - Country:US
Practice Address - Phone:978-454-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11234225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist