Individual
MRS. SHERI M KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFICATE LICENCE
Contact information
Practice address
11650 PERRIS BLVD, MORENO VALLEY, CA 92557-6536
(951) 488-0404
Mailing address
11650 PERRIS BLVD, MORENO VALLEY, CA 92557-6536
(951) 488-0404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1057
CA
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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