Individual
LISA KOFFINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
75 EXECUTIVE DR STE 103, AURORA, IL 60504-8150
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD STE F, PLAINFIELD, IL 60544-8708
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002290
IL
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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