Individual
ANN M. KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1070 OLD OCEAN HIGHWAY, UNIVERSAL HEALTHCARE BRUNSWICK, BOLIVIA, NC 28422
(910) 755-5955
Mailing address
2736 CHADSWORTH LANE, SOUTHPOINT, NC 28461
(315) 806-1168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5426-1
NY
235Z00000X
Speech-Language Pathologist
Primary
7354
NC
Other
Enumeration date
09/23/2011
Last updated
05/29/2013
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