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NPI Code Detail

MEDICARE: DONNA L HOPKINS PT

MEDICARE: DONNA L HOPKINS PT
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 Therapist1604NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10788XOTHERNCBCBS
27698177OTHERNCAETNA

General Provider Information

NPI Number : 1376524975
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA L HOPKINS PT
Provider Business Mailing Address
First Line : PO BOX 667744
Second Line :
City : CHARLOTTE
State : NC
Zip : 28266-7744
Country : US
Telephone Number : 704-596-6663
Fax Number : 704-597-5313
Provider Business Practice Location Address
First Line : 10810 MALLARD CREEK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-9786
Country : US
Telephone Number : 704-510-8011
Fax Number : 704-510-8029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 02/11/2009

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Directions to “ DONNA L HOPKINS PT” Practice Location

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