Provider Demographics
NPI:1568770840
Name:HOFMANN, ADRIENNE CECILY (MPT)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:CECILY
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HODENCAMP RD
Mailing Address - Street 2:100
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5836
Mailing Address - Country:US
Mailing Address - Phone:805-495-0516
Mailing Address - Fax:805-381-9366
Practice Address - Street 1:101 HODENCAMP RD
Practice Address - Street 2:100
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-5836
Practice Address - Country:US
Practice Address - Phone:805-495-0516
Practice Address - Fax:805-381-9366
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA370192251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic