Individual
MRS. TAMMY ANN HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11806 BINNEY RD, NEW DOUGLAS, IL 62074-1054
(618) 781-9856
Mailing address
11806 BINNEY RD, NEW DOUGLAS, IL 62074-1054
(618) 781-9856
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003756
IL
224Z00000X
Occupational Therapy Assistant
2013008794
MO
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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