Individual
JASON MICHAEL HOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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