Individual
LAUREN NICOLE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1810 CHARTWELL DR, TRAVERSE CITY, MI 49696-9283
(231) 929-2354
Mailing address
92 S LAKE DOSTER DR, PLAINWELL, MI 49080-9109
(269) 615-6089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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