Individual
ROLANE M HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-697
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148185
BLUE SHIELD PIN
ID
01
—
W0962
BLUE CROSS PIN
ID
Enumeration date
07/16/2006
Last updated
03/06/2009
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