Individual
MS. SHEELAH LYNNE KOCH-COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5455 MERIDIAN MARKS RD NE, SUITE 300, ATLANTA, GA 30342-1654
(404) 785-3781
(404) 785-3769
Mailing address
4197 LONG BRANCH DR NE, MARIETTA, GA 30066-2468
(404) 785-3781
(404) 785-3769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT004100
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OTOO4100
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
878844045A
—
GA
Enumeration date
04/11/2007
Last updated
05/25/2010
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