CARRIE KOOYENGA

BELVIDERE, IL
NPI1942450515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.005053)
Enumeration Date2008-09-19
Last Update Date2008-09-19
Business Address
-- CARRIE KOOYENGA PTA
1663 BELVIDERE RD
BELVIDERE, IL 61008-9306
Phone number: 815-544-0040
Mailing Address
-- CARRIE KOOYENGA PTA
10100 FOREST HILLS RD
MACHESNEY PARK, IL 61115-8234
Phone number: 815-713-2742
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