Individual provider · Type 1 NPI
Lisa Marie Koopman
Developmental Therapist · Oswego, IL
Practice location
255 Bluegrass Pkwy
Oswego, IL 60543-7709
Fax (630) 551-0443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: 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 experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1861699605
Lisa Marie Koopman's National Provider Identifier is 1861699605, issued on Jun 27, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Oswego, IL. The record was last updated on Jul 8, 2007.