Individual
KIM KOPONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 S SEMORAN BLVD STE 108, WINTER PARK, FL 32792-5313
(877) 430-2772
Mailing address
925 S SEMORAN BLVD STE 108, WINTER PARK, FL 32792-5313
(877) 430-2772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19623
FL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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