Provider Demographics
NPI:1952716334
Name:PALLARES-HOPKINS, DANIELA
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:PALLARES-HOPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:DANIELA
Other - Last Name:PALLARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1201 WARRIOR WAY
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-2807
Mailing Address - Country:US
Mailing Address - Phone:770-570-9431
Mailing Address - Fax:
Practice Address - Street 1:1201 WARRIOR WAY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-2807
Practice Address - Country:US
Practice Address - Phone:770-570-9431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012740225100000X
2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist