Individual
ALBERT KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
63 LORDS VIEW TER, RICHMOND, VT 05477-9451
(802) 434-4328
Mailing address
63 LORDS VIEW TER, RICHMOND, VT 05477-9451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002766
VT
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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