Provider Demographics
NPI:1730635467
Name:HOPKINS, GINGER RENEE (PT)
Entity Type:Individual
Prefix:MS
First Name:GINGER
Middle Name:RENEE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:GINGER
Other - Middle Name:RENEE
Other - Last Name:LOOMIS HOPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2 NEWKIRK ROAD
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694
Mailing Address - Country:US
Mailing Address - Phone:949-347-8908
Mailing Address - Fax:
Practice Address - Street 1:2 NEWKIRK ROAD
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694
Practice Address - Country:US
Practice Address - Phone:949-347-8908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21592225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist