# MRS. KATHLEEN DIANE KOCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225372287
- **Gender:** F
- **Credential:** OTL

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XG0600X | Gerontology Occupational Therapist | 205 | OH | — |
| 225XG0600X | Gerontology Occupational Therapist | R0787 | KY | Yes |

## Other

- **Enumeration date:** 11/15/2012
- **Last updated:** 11/15/2012