Individual
KARINA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
(402) 891-1118
Mailing address
PO BOX 4553, GILLETTE, WY 82717-4553
(307) 680-2753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1017
WY
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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