Individual
MS. CHERYL ANN KOCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2500 QUANTUM LAKES DR, SUITE 108, BOYNTON BEACH, FL 33426-8324
(561) 244-3627
(561) 244-0222
Mailing address
2500 QUANTUM LAKES DR, SUITE 108, BOYNTON BEACH, FL 33426-8324
(561) 244-3627
(561) 244-0222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 009029
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT009029
PT #
OH
Enumeration date
05/25/2006
Last updated
07/08/2007
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