Individual
AMANDA KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 YALE DR APT B, LEBANON, OH 45036-8199
(513) 505-3196
Mailing address
463 YALE DR APT B, LEBANON, OH 45036-8199
(513) 505-3196
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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