Individual
CYNTHIA MARIE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3871 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302-1180
(503) 926-4299
Mailing address
5774 MOONSTONE LOOP SE, SALEM, OR 97306-3533
(503) 926-4299
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5560
OR
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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