Individual
JENNA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18445 HOLLY RD, FORT MYERS, FL 33967-3326
(239) 432-2798
Mailing address
18445 HOLLY RD, FORT MYERS, FL 33967-3326
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15409
FL
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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