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Individual

SARAH KOEHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC, EMT

Contact information

Practice address
20916 OLD YORK RD, PARKTON, MD 21120-9135
(410) 236-7635
Mailing address
20916 OLD YORK RD, PARKTON, MD 21120-9135
(410) 236-7635

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0202078
MD
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A000056
MD

Other

Enumeration date
09/18/2014
Last updated
09/18/2014
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