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NPI Code Detail

MEDICARE: ANNIKA GRACE HOTCHKISS

MEDICARE: ANNIKA GRACE HOTCHKISS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1306419528
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIKA GRACE HOTCHKISS
Provider Business Mailing Address
First Line : 111 MIDWAY LN
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-2407
Country : US
Telephone Number : 224-433-9842
Fax Number :
Provider Business Practice Location Address
First Line : 12740 N PLAZA DEL RIO BLVD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-8100
Country : US
Telephone Number : 480-581-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2021
Last Update Date : 07/24/2021

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Directions to “ ANNIKA GRACE HOTCHKISS ” Practice Location

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