Individual
MR. CHRISTOPHER J. KOPACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1240 ESSINGTON RD, SUITE 100, JOLIET, IL 60435-8426
(815) 744-7108
(815) 744-7057
Mailing address
1240 ESSINGTON RD, SUITE 100, JOLIET, IL 60435-8426
(815) 744-7108
(815) 744-7057
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004282
IL
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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