Individual
ALLISON LAUREN KOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7005 PONTIAC TRL, WEST BLOOMFIELD, MI 48323-2181
(248) 939-5843
Mailing address
2960 OAKBROOKE CT, WEST BLOOMFIELD, MI 48323-3545
(631) 258-9626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012952
MI
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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