Provider Demographics
NPI:1225857592
Name:HOPPENWORTH, CHRISTIAN
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:
Last Name:HOPPENWORTH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 SE 47TH TER STE B
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9173
Mailing Address - Country:US
Mailing Address - Phone:239-257-1379
Mailing Address - Fax:
Practice Address - Street 1:1112 SE 47TH TER STE B
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9173
Practice Address - Country:US
Practice Address - Phone:239-257-1379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist