Individual
MS. DIANE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
351 HOSPITAL RD, SUITE 606, NEWPORT BEACH, CA 92663-3509
(949) 650-3870
(949) 650-2544
Mailing address
351 HOSPITAL RD, SUITE 606, NEWPORT BEACH, CA 92663-3509
(949) 650-3870
(949) 650-2544
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT9997
CA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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