Individual
DEAN M HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
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
225100000X
Physical Therapist
Primary
RPT-1769
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010146067
BLUE SHIELD PIN
ID
01
—
191869
WA LABOR & INDUSTRY PIN
WA
01
—
611894900
OWCP PIN
—
05
—
806910600
—
ID
01
—
T8853
BLUE CROSS PIN
ID
Enumeration date
07/20/2006
Last updated
03/06/2009
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