Individual
NICOLE CHRISTINE KOECHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
104 MALLORY DR, GOOSE CREEK, SC 29445-6406
(843) 996-1471
(843) 808-6986
Mailing address
PO BOX 1119, GOOSE CREEK, SC 29445-1119
(843) 996-1471
(843) 808-6986
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5457
SC
Other
Enumeration date
01/23/2019
Last updated
02/20/2025
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