Individual
ALISON R KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2150 ROUTE 38, CHERRY HILL, NJ 08002-4302
(856) 667-4550
(856) 667-3507
Mailing address
236 CENTAURIAN DR, WEST BERLIN, NJ 08091-3821
(856) 753-0894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09052800
NJ
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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