Provider Demographics
NPI:1386429371
Name:HOPKIN, AUTUMN (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:
Last Name:HOPKIN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MIAMI CIR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-6920
Mailing Address - Country:US
Mailing Address - Phone:307-921-8103
Mailing Address - Fax:
Practice Address - Street 1:901 S GREELEY HWY STE B
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-3020
Practice Address - Country:US
Practice Address - Phone:307-634-2109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist