Individual
MS. DEBRA G KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1087
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51076565
BLUE CROSS BLUE SHIELD AL
AL
01
—
6410032
UNITEDHEALTH CARE
AL
Enumeration date
05/11/2007
Last updated
07/09/2007
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