Provider Demographics
NPI:1639635634
Name:H.O.P.E THERAPEUTICS
Entity Type:Organization
Organization Name:H.O.P.E THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:703-501-6366
Mailing Address - Street 1:300 SUTRO FOREST DR NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8095
Mailing Address - Country:US
Mailing Address - Phone:703-501-6366
Mailing Address - Fax:
Practice Address - Street 1:300 SUTRO FOREST DR NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-8095
Practice Address - Country:US
Practice Address - Phone:703-501-6366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty