Individual
CARLY KOPPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1704 MAPLE AVE STE 110, EVANSTON, IL 60201-3134
(630) 933-1500
(224) 271-5556
Mailing address
1704 MAPLE AVE STE 110, EVANSTON, IL 60201-3134
(630) 933-1500
(224) 271-5556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070026748
IL
Other
Enumeration date
09/08/2021
Last updated
01/02/2025
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