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Individual
MR. MICHAEL JOSEPH KOEHLE
Active
Individual
MR. MICHAEL JOSEPH KOEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
08053
MD
225X00000X
Occupational Therapist
Primary
OC013916
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC013916
PENNSYLVANIA BOARD OF OCCUPATIONAL THERAPY
PA
Enumeration date
11/24/2018
Last updated
11/24/2018
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