Individual
MRS. CAROLYN KOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
22855 LAKE FOREST DR, SUITE A, LAKE FOREST, CA 92630-1656
(949) 452-7531
Mailing address
26752 MERINO CIR, MISSION VIEJO, CA 92691-5434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1839
CA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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