Provider Demographics
NPI:1780730630
Name:HOPFENZIZ, MICHAEL L (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:L
Last Name:HOPFENZIZ
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PUEBLO LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-8406
Mailing Address - Country:US
Mailing Address - Phone:330-892-0299
Mailing Address - Fax:
Practice Address - Street 1:40 PUEBLO LN
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-8406
Practice Address - Country:US
Practice Address - Phone:330-892-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2020-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT009793225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist