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Individual

MRS. KATHLEEN DIANE KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTL

Contact information

Practice address
200 NORTHPOINTE CIR, SUITE 302, SEVEN FIELDS, PA 16046-7861
(724) 779-6440
Mailing address
8655 TRILLIUM RIDGE LN, CINCINNATI, OH 45255-5656
(513) 252-3905

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
205
OH
225XG0600X
Gerontology Occupational Therapist
Primary
R0787
KY

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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