LOGAN J KOOPMAN

BALLWIN, MO
NPI1750906400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  100737)
Enumeration Date2020-06-09
Last Update Date2024-09-16
Business Address
LOGAN J KOOPMAN DPT
14081 MANCHESTER RD
BALLWIN, MO 63011-4513
Phone number: 636-493-8642
Mailing Address
LOGAN J KOOPMAN DPT
647 SPIRIT AIRPARK WEST DR STE 101
CHESTERFIELD, MO 63005-1032
Phone number: 636-223-5700