Individual
MARTHA JOANN KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
807 30TH ST NE, CANTON, OH 44714-1404
(330) 491-0381
(330) 491-0388
Mailing address
807 30TH STREET, CANTON, OH 44714
(330) 491-0381
(330) 491-0388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33.017589
OH
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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