Individual
AMY KOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
3064 BIG BEAR DR, ROSEVILLE, CA 95747-7133
(925) 759-4022
Mailing address
3064 BIG BEAR DR, ROSEVILLE, CA 95747-7133
(925) 759-4022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18447
CA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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