Individual
JEANETTE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 S 43RD ST, MILWAUKEE, WI 53220-1502
(414) 328-2104
(414) 328-2159
Mailing address
3540 S 43RD ST, MILWAUKEE, WI 53220-1502
(414) 328-2104
(414) 328-2159
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4039-026
WI
Other
Enumeration date
06/05/2008
Last updated
10/20/2009
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