Individual
HEATHER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4812 SANTANA CIR, COLUMBIA, MO 65203-7138
(573) 639-2279
Mailing address
PO BOX 511, ASHLAND, MO 65010-0511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001015965
MO
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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