Individual
JESSICA LYNN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
213 MAIN ST, GILBOA, OH 45875-9757
(567) 376-9150
Mailing address
235 TANGLEWOOD DR, OTTAWA, OH 45875-1064
(419) 615-3022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014186
OH
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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