Individual
AMY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
702 W DOLF ST, COLBY, WI 54421-9604
(715) 223-2352
Mailing address
150 S 2ND ST, MEDFORD, WI 54451-1809
(920) 841-0871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5144-26
WI
225X00000X
Occupational Therapist
OT60288049
WA
Other
Enumeration date
04/19/2013
Last updated
01/06/2016
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