Individual
ASHLEY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1727 IMPERIAL BLVD BLDG 3, LAKE CHARLES, LA 70605-5362
(337) 478-5880
(337) 478-5879
Mailing address
1727 IMPERIAL BLVD BLDG 3, LAKE CHARLES, LA 70605-5362
(337) 478-5880
(337) 478-5879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08057
LA
Other
Enumeration date
09/27/2013
Last updated
07/21/2022
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