RUSSELL KOPPIN

SOUTHFIELD, MI
NPI1326549254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201009780)
Enumeration Date2018-02-26
Last Update Date2021-06-23
Business Address
RUSSELL KOPPIN OT
21700 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-4906
Phone number: 313-600-8563
Mailing Address
RUSSELL KOPPIN OT
21700 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-4906
Phone number: 313-600-8563