Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC002338L | PA |
N | 225X00000X | Occupational Therapist | U1-0001101 | DE |
NPI | 1003041351 |
---|---|
Provider Name | Deborah Anne Hopkins |
First Address | Springfield, PA 19064 |
Second Address | Springfield, PA 19064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2009 |
Last Update Date | 14/04/2011 |