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Organization
DAVID KOCH
Active
Organization
DAVID KOCH
Active
Other names
Orthopedic Rehab Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E KOCH A.T.C (OWNER)
(262) 620-1650
Entity
Organization
Contact information
Practice address
3621 59TH ST, KENOSHA, WI 53144-6921
(262) 620-1650
(262) 653-0835
Mailing address
3621 59TH ST, KENOSHA, WI 53144-6921
(262) 620-1650
(262) 653-0835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
270-039
WI
Other
Enumeration date
01/07/2007
Last updated
08/22/2020
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