MRS. Lisa Marie Koopman

NPI #1861699605 in Oswego, Illinois

Provider Information

NPI Number
1861699605
Entity Type
Individual
Name
MRS. Lisa Marie Koopman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Developmental Therapist
Enumeration Date
Jun 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
255 BLUEGRASS PKWY
City
Oswego
ZIP Code
60543-7709
Phone
(630) 551-1089

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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