Individual
MS. JENNIFER ANN HOPTA-DIFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
353 ANO ST, KAHULUI, HI 96732-1304
(808) 796-7858
Mailing address
PO BOX 331344, KAHULUI, HI 96733-1344
(808) 796-7858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00148400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241
PTA
HI
01
—
40QB00148400
NJ STATE PTA LICENSE
NJ
Enumeration date
05/22/2014
Last updated
05/18/2021
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