MARY LOU TAN KOPPIN

BRICK, NJ
NPI1740334556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  qa01230100)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
-- MARY LOU TAN KOPPIN pt
1645 ROUTE 88
BRICK, NJ 08724-3049
Phone number: 732-202-1200
Mailing Address
-- MARY LOU TAN KOPPIN pt
1645 ROUTE 88
BRICK, NJ 08724-3049
Phone number: 732-202-1200
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