# AT HOME PHYSICAL THERAPY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174140412
- **Authorized official:** MICHELE HENNE KOCH PT (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (443) 618-7750

## Contact information

- **Practice address:** 1909 ORCHARD POINT RD, PASADENA, MD 21122-5717
- **Practice address phone:** (443) 618-7750
- **Mailing address:** 1909 ORCHARD POINT RD, PASADENA, MD 21122-5717
- **Mailing address phone:** (443) 618-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 07/16/2020
