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Individual

ALICE A. HOPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE COMPREHENSIVE HEALTH CARE FACILITY, CHINLE, AZ 86503
(928) 674-7552
(928) 674-7705
Mailing address
P.O. DRAWER PH, CHINLE COMPREHENSIVE HEALTH CARE FACILITY, CHINLE, AZ 86503
(928) 674-7552
(928) 674-7705

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11407
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P11407
STATE
NC
Enumeration date
09/30/2010
Last updated
09/30/2010
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