Individual
JEMERIE SHAWN HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2867 RIVERWOODS DR NE, ROCKFORD, MI 49341-9294
(414) 305-1635
Mailing address
2867 RIVERWOODS DR NE, ROCKFORD, MI 49341-9294
(414) 305-1635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056007129
LICENSE #
IL
01
—
1930808
MI OT LICENSE
MI
Enumeration date
08/20/2006
Last updated
03/28/2013
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