Provider Demographics
NPI:1780913186
Name:HOFFMANN, KAREN (MS, PT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:BERDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PT
Mailing Address - Street 1:2217 BRITTANY PARK RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93012-9003
Mailing Address - Country:US
Mailing Address - Phone:805-491-2815
Mailing Address - Fax:
Practice Address - Street 1:6400 LAUREL CANYON BLVD STE 400
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1564
Practice Address - Country:US
Practice Address - Phone:818-763-0136
Practice Address - Fax:818-763-3838
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT14396174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist