Individual
KAREN KELLY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3243 BIRCH AVE, COLOMA, MI 49038-9117
(269) 978-8340
(866) 576-3284
Mailing address
3243 BIRCH AVE, COLOMA, MI 49038-9117
(269) 978-8340
(866) 576-3284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003832
MI
225XE0001X
Environmental Modification Occupational Therapist
5201003832
MI
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
5201003832
MI
225XG0600X
Gerontology Occupational Therapist
5201003832
MI
225XG0600X
Gerontology Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
01/08/2007
Last updated
05/17/2020
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