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Individual

MR. JONATHAN KOOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
6107 AVENUE 426, REEDLEY, CA 93654-9129
(559) 859-6354
Mailing address
6107 AVENUE 426, REEDLEY, CA 93654-9129
(559) 859-6354

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XE0001X
Environmental Modification Occupational Therapist
225XE1200X
Ergonomics Occupational Therapist
225XG0600X
Gerontology Occupational Therapist
225XL0004X
Low Vision Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
03/13/2020
Last updated
03/13/2020
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