Provider Demographics
NPI:1588933543
Name:HOPKINS, REBECCA (MS OT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N PENN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:PA
Mailing Address - Zip Code:19046-4246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1161 FORTY FOOT RD.
Practice Address - Street 2:
Practice Address - City:KULPSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19443
Practice Address - Country:US
Practice Address - Phone:215-692-4345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012160225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist