Provider Demographics
NPI:1508337296
Name:HOEFT, ERIKA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:HOEFT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:BACA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:554 KINGSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4830
Mailing Address - Country:US
Mailing Address - Phone:904-264-0792
Mailing Address - Fax:
Practice Address - Street 1:554 KINGSLEY AVE
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4830
Practice Address - Country:US
Practice Address - Phone:904-264-0792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT34151225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist