Individual
GINA MARIE HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, MS, LAT
Contact information
Practice address
261 LAKENGREN DR, EATON, OH 45320-2855
(630) 835-8140
Mailing address
261 LAKENGREN DR, EATON, OH 45320-2855
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
AT004076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91589
—
OH
Enumeration date
04/06/2022
Last updated
04/06/2022
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