Individual
ALISHA MARIE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9387 SEMINOLE BLVD, SEMINOLE, FL 33772-3145
(727) 394-8161
Mailing address
2705 5TH CT, PALM HARBOR, FL 34684-3818
(727) 729-9631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30547
FL
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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