Provider Demographics
NPI:1508988437
Name:CHANDY-HOPKINS, ATHENA PF (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:ATHENA
Middle Name:PF
Last Name:CHANDY-HOPKINS
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7619 STATE HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:COOPERSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13326-3315
Mailing Address - Country:US
Mailing Address - Phone:315-858-5494
Mailing Address - Fax:
Practice Address - Street 1:7619 STATE HIGHWAY 80
Practice Address - Street 2:
Practice Address - City:COOPERSTOWN
Practice Address - State:NY
Practice Address - Zip Code:13326-3315
Practice Address - Country:US
Practice Address - Phone:315-858-5494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist