Provider Demographics
NPI:1962699496
Name:HOPMANS PHYSICAL THERAPY SERVICES PC
Entity type:Organization
Organization Name:HOPMANS PHYSICAL THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:RAOUL
Authorized Official - Middle Name:O
Authorized Official - Last Name:HOPMANS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:347-693-1888
Mailing Address - Street 1:25 BLOOMFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-7907
Mailing Address - Country:US
Mailing Address - Phone:347-693-1888
Mailing Address - Fax:
Practice Address - Street 1:25 BLOOMFIELD RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-7907
Practice Address - Country:US
Practice Address - Phone:347-693-1888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY15811-1208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty