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NPI Code Detail

MEDICARE: JOANIE MARIE HOOPER OTR/L

MEDICARE: JOANIE MARIE HOOPER OTR/L
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
1171W00000XContractorOT 1086CA

General Provider Information

NPI Number : 1841543121
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANIE MARIE HOOPER OTR/L
Provider Business Mailing Address
First Line : 554 KELMORE ST
Second Line :
City : MOSS BEACH
State : CA
Zip : 94038-9707
Country : US
Telephone Number : 650-773-1934
Fax Number :
Provider Business Practice Location Address
First Line : 3401 MISSION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-5419
Country : US
Telephone Number : 650-773-1934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2012
Last Update Date : 10/23/2012

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Directions to “ JOANIE MARIE HOOPER OTR/L” Practice Location

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