Doctor Name: | ALICE HOOPER |
NPI Number: | 1033515135 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2701 |
Business Practice Address: | 40 Pine Ridge Dr Bridgewater, MA - 023241964 |
Business Phone Number: | 5086978113 |
Business Fax Number: | |
Mailing Address: | 40 Pine Ridge Dr, BRIDGEWATER |
State: | MA |
Postal Code: | 023241964 |
Phone Number: | 5086978113 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2014 |
NPI Last Update Date: | 11/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 2701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |