Individual
KARISSA ANN POPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
(815) 842-4912
Mailing address
17 JASPER DR, MORTON, IL 61550-1127
(309) 229-4754
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.023947
IL
Other
Enumeration date
03/07/2019
Last updated
03/16/2022
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