Individual
LUCY MARTINA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8634 FREDERICKSBURG RD, SUITE NUMBER 212, SAN ANTONIO, TX 78254
(210) 696-5777
Mailing address
1134 WINDMILL PALM, SAN ANTONIO, TX 78216-8006
(210) 889-7853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2053389
TX
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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