Individual
JAN WILLEM DE BRUYN KOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 EAST ILIFF AVENUE, DENVER, CO 80222
(303) 759-4221
Mailing address
6060 EAST ILIFF AVENUE, DENVER, CO 80222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12457
CO
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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