Carrie Kooyenga, PTA

NPI #1942450515 in Belvidere, Illinois

Provider Information

NPI Number: 1942450515
Entity Type: Individual
Name: Carrie Kooyenga, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 19, 2008
Last Updated: Sep 19, 2008

Practice Location

Address: 1663 BELVIDERE RD
City: Belvidere
State: Illinois
ZIP Code: 61008-9306
Phone: (815) 544-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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