Individual
MRS. LYNETTE HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L, CLT
Contact information
Practice address
23444 TYPO CREEK DR NE, STACY, MN 55079-9347
(763) 229-0112
Mailing address
23444 TYPO CREEK DR NE, STACY, MN 55079-9347
(763) 229-0112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201794
MN
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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