Provider Demographics
NPI:1922101138
Name:HOEFT, DEANNE JENNIFER-MACIOLEK (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEANNE
Middle Name:JENNIFER-MACIOLEK
Last Name:HOEFT
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:215 E MAIN ST
Mailing Address - Street 2:STE. B
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1681
Mailing Address - Country:US
Mailing Address - Phone:248-349-9339
Mailing Address - Fax:248-349-9336
Practice Address - Street 1:215 E MAIN ST
Practice Address - Street 2:STE. B
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-1681
Practice Address - Country:US
Practice Address - Phone:248-349-9339
Practice Address - Fax:248-349-9336
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2009-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5501007028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist