Individual
BIANCA KOUPPARIS-ROESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT,PT
Contact information
Practice address
6016 LOVERS LN STE 3, PORTAGE, MI 49002-3050
(269) 752-0306
Mailing address
625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
269-752-0306
MI
Other
Enumeration date
08/05/2024
Last updated
10/09/2025
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