Provider Demographics
NPI:1164494357
Name:HOFFMAN, JOY A (PTA)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5250 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FORT DIX
Mailing Address - State:NJ
Mailing Address - Zip Code:08640-5058
Mailing Address - Country:US
Mailing Address - Phone:609-562-6487
Mailing Address - Fax:
Practice Address - Street 1:5250 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:FORT DIX
Practice Address - State:NJ
Practice Address - Zip Code:08640-5058
Practice Address - Country:US
Practice Address - Phone:609-562-6487
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQB002228225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant