Individual
ANNE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24101 547TH AVE, AUSTIN, MN 55912-5626
(763) 689-5385
Mailing address
24101 547TH AVE, AUSTIN, MN 55912-5626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101048
MN
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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