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1326652157
LISA KOFFINKE
AURORA, IL
NPI
1326652157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056002290)
Enumeration Date
2020-08-31
Last Update Date
2020-08-31
Business Address
LISA KOFFINKE OTR/L
75 EXECUTIVE DR STE 103
AURORA, IL 60504-8150
Phone number: 800-974-4378
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Mailing Address
LISA KOFFINKE OTR/L
24014 W RENWICK RD STE F
PLAINFIELD, IL 60544-8708
Phone number: 800-974-4378
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