Individual
LAUREN KOCHESHKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8785 S JORDAN VALLEY WAY, SUITE 2, WEST JORDAN, UT 84088-9772
(801) 708-9226
Mailing address
8785 S JORDAN VALLEY WAY, SUITE 2, WEST JORDAN, UT 84088-9772
(801) 708-9226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6641742-2401
UT
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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