Individual
MS. LINDA KOCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
25107 SOUTHPORT ST, LAGUNA HILLS, CA 92653-4922
(949) 597-9436
Mailing address
25107 SOUTHPORT ST, LAGUNA HILLS, CA 92653-4922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2368
CA
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
2368
CA
302R00000X
Health Maintenance Organization
2368
CA
305R00000X
Preferred Provider Organization
2368
CA
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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