Provider Demographics
NPI:1821605551
Name:HOPKINS, HANNAH JOY (PTA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOY
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 REDMOND RD NW APT B6
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1434
Mailing Address - Country:US
Mailing Address - Phone:706-266-6003
Mailing Address - Fax:
Practice Address - Street 1:600 REDMOND RD NW APT B6
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1434
Practice Address - Country:US
Practice Address - Phone:706-266-6003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003861225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant