Individual
JEAN THERESA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4500 PLANK RD STE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
Mailing address
4500 PLANK RD STE 1022, FREDERICKSBURG, VA 22407-0120
(540) 785-0200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557170
VA
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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