Individual
ALISON LYNN KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58102-4421
(701) 234-6528
Mailing address
2842 7TH ST W APT 313, WEST FARGO, ND 58078-6915
(701) 269-1471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2314
ND
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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