Individual
MALLORY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 232-8111
Mailing address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC014188
PA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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