Individual
MRS. LYNDSAY MARIE KOPPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
912 TERRACE DR, RICE LAKE, WI 54868-1959
(715) 790-1286
Mailing address
912 TERRACE DR, RICE LAKE, WI 54868-1959
(715) 790-1286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5120-27
WI
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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