| Lisa Koffinke, OTR/L | |
|
75 Executive Dr Ste 103, Aurora, IL 60504-8150 | |
| (800) 974-4378 | |
| (630) 515-1536 |
| Full Name | Lisa Koffinke |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 75 Executive Dr Ste 103, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326652157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056002290 (Illinois) | Primary |
| Provider Name | Dpt Holdings Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20061003000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Koffinke, OTR/L 24014 W Renwick Rd Ste F, Plainfield, IL 60544-8708 Ph: (800) 974-4378 | Lisa Koffinke, OTR/L 75 Executive Dr Ste 103, Aurora, IL 60504-8150 Ph: (800) 974-4378 |
Alejandra Mayte Castellanos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 E New York St, Aurora, IL 60504 Phone: 331-301-5590 | |
Zoe Monks, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 N Commons Dr Ste 102, Aurora, IL 60504 Phone: 708-478-1820 | |
Ryan Driessens, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1599 N Farnsworth Ave, Aurora, IL 60505 Phone: 630-585-5901 | |
Candace Attaway, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3403 Ravinia Cir, Aurora, IL 60504 Phone: 815-272-1027 | |
Ms. Misty E Ayers-cumbow, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1245 Corporate Blvd Ste 101, Aurora, IL 60505 Phone: 630-898-2200 Fax: 630-898-5555 | |
Alison Humbird, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2073 Conway Ln, Aurora, IL 60503 Phone: 630-333-8628 | |
Ariana J. Galvan, MOT, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 773-319-9576 |