Individual
ANTHONY PATRICK KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 754-2078
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 754-2078
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
09/11/2020
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