Individual
JAMIE LYNN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9301 N 76TH ST, MILWAUKEE, WI 53223-1074
(414) 357-5105
Mailing address
4335 S 91ST ST, GREENFIELD, WI 53228-2800
(414) 708-0996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WI
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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