ALICIA R KOONTZ

Business Entity
ACTIVE

Physical Therapist

LICENSED PHYSICAL THERAPIST ASSISTANT

160005000

ACTIVE

N

ALICIA

R

KOONTZ

ALICIA R KOONTZ

08/01/2008

09/01/2025

09/30/2027

OREANA

IL

62554

MACON

N

09/01/2025