Individual
MRS. VICTORIA AVC KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, PT
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
11586 SOUTH LONGVIEW STREET, OLATHE, KS 66061-5678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02292
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-02292
STATE LICENSE
KS
Enumeration date
09/04/2007
Last updated
09/04/2007
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