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Individual

TROY JARED KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
425 NEW LONDON RD, NEWARK, DE 19711-7009
(302) 453-1588
(302) 453-9970
Mailing address
1225 FOX RD, LEESPORT, PA 19533-8848
(610) 463-5236

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10014624
DE
225100000X
Physical Therapist
PT028709
PA
225100000X
Physical Therapist
TPT023340
PA

Other

Enumeration date
06/12/2020
Last updated
01/29/2023
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