Ms. Deborah Lynn Kooiman
Occupational Therapist - Gerontology
413 E. Tremaine Av
Gilbert
, Arizona 85234-4623
Ms. Deborah Lynn Kooiman
Occupational Therapist - Gerontology
413 E. Tremaine Av
Gilbert
, Arizona 85234-4623
(832) 495-9266
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Deborah Lynn Kooiman
- 19802 N 47th Ln
- Glendale, AZ
- Zip : 85308-5167
- Phone : (832) 495-9266
Second Address
- Ms. Deborah Lynn Kooiman
- 413 E. Tremaine Av
- Gilbert, AZ
- Zip : 85234-4623
- Phone : (602) 295-5040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 4980 | AZ |
National Provider Identifier
| NPI | 1871866681 |
|---|---|
| Provider Name | Ms. Deborah Lynn Kooiman |
| First Address | Glendale, AZ 85308-5167 |
| Second Address | Gilbert, AZ 85234-4623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2012 |
| Last Update Date | 10/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4980 | OCCUPATIONAL THERAPY LICENSE (01) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.