Individual
BRYANT KOOPMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2144 MAIN ST STE 3, LONGMONT, CO 80501-8403
(303) 827-3375
Mailing address
701 CHARLES ST, SUPERIOR, CO 80027-9616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0016631
CO
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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