Edan Leigh Koopman, OT

NPI #1093943953 in Antioch, Illinois

Provider Information

NPI Number: 1093943953
Entity Type: Individual
Name: Edan Leigh Koopman, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jun 30, 2009
Last Updated: Jul 27, 2023

Practice Location

Address: 1122 MAIN ST
City: Antioch
State: Illinois
ZIP Code: 60002-1808
Phone: (847) 395-0321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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