Individual
MRS. COLLEEN KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 CENTER CT, SHOREWOOD, IL 60404-8534
(815) 773-9000
(815) 773-9001
Mailing address
518 SIERRA ROSE CIR, JOLIET, IL 60431-4909
(815) 351-2522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004413
IL
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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