Individual
HOLLY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 E BROADWAY, EUGENE, OR 97401-2732
(541) 338-7088
(541) 345-3559
Mailing address
244 E BROADWAY, EUGENE, OR 97401-2732
(541) 338-7088
(541) 345-3559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61800
OR
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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