Lisa Marie Koopman in Oswego - Developmental Therapist
Lisa Marie Koopman - NPI 1861699605
Lisa Marie Koopman is a Developmental Therapist in Oswego, Illinois. Lisa Marie Koopman practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Lisa Marie Koopman is 1861699605. The last update date is 2007-07-08.
Lisa Marie Koopman's current location address is 255 Bluegrass Pkwy, Oswego, Illinois. You can contact this provider via phone number 6305511089 and fax number 6305510443. The mailing address for Lisa Marie Koopman is 255 Bluegrass Pkwy, Oswego, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Koopman |
|---|---|
| Address | 255 Bluegrass Pkwy, Oswego, Illinois |
| Phone Number | 6305511089 |
| Fax Number | 6305510443 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861699605 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 255 Bluegrass Pkwy |
|---|---|
| City | Oswego |
| State | Illinois (IL) |
| Post Code | 605437709 |
| Phone Number | 6305511089 |
| Fax Number | 6305510443 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Marie Koopman?
The Lisa Marie Koopman has been issued the NPI (National Provider Identifier) 1861699605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Lisa Marie Koopman's facilities are situated?
The facilities of Lisa Marie Koopman are physically located at the following address: 255 Bluegrass Pkwy, Oswego, IL, 605437709.
What is Lisa Marie Koopman's area of expertise and its corresponding taxonomy classification?
The Lisa Marie Koopman's field of specialization is Developmental Therapist, and it falls under the taxonomy code 222Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Lisa Marie Koopman receive its 1861699605 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Marie Koopman was assigned its 1861699605 on 2007-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lisa Marie Koopman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Marie Koopman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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