Individual
MRS. MICHELLE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
29667 SUMMIT AVE. S11, WAUKESHA, WI 53188
(262) 565-6124
Mailing address
29667 SUMMIT AVE.S11, WAUKESHA, WI 53188
(262) 565-6124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2241-26
WI
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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