Individual
ASHLEIGH KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9512 HARFORD RD, SUITE 3, BALTIMORE, MD 21234-3100
(410) 882-3010
(410) 882-3014
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25141
MD
Other
Enumeration date
08/19/2014
Last updated
11/21/2018
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