Individual
MS. DEBORAH LYNN KOOIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
413 E. TREMAINE AV, GILBERT, AZ 85234-4623
(602) 295-5040
Mailing address
19802 N 47TH LN, GLENDALE, AZ 85308-5167
(832) 495-9266
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
4980
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4980
OCCUPATIONAL THERAPY LICENSE
AZ
Enumeration date
02/10/2012
Last updated
02/10/2012
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