Individual
DEBOARH BRYANT HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
18010 144TH AVE, JAMAICA, NY 11434-5926
(718) 276-1729
Mailing address
18010 144TH AVE, JAMAICA, NY 11434-5926
(718) 276-1729
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003355-1
NY
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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