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1023400033
LANNA KOOP
JACKSONVILLE BEACH, FL
NPI
1023400033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Additional Taxonomies
225XP0200X Occupational Therapist Pediatrics
Enumeration Date
2015-02-27
Last Update Date
2021-02-19
Business Address
LANNA KOOP OTR
2730 ISABELLA BLVD STE 10
JACKSONVILLE BEACH, FL 32250-8002
Phone number: 904-372-4070
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Mailing Address
LANNA KOOP OTR
4419 PEBBLE BROOK DR
JACKSONVILLE, FL 32224-5663
Phone number: 419-515-8334
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