Individual
MANOHAR D KOCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELORS DEGREE OT
Contact information
Practice address
3181 PRAIRIE ST SW STE 102, GRANDVILLE, MI 49418-2076
(616) 249-3545
(616) 249-3549
Mailing address
2493 FOREST MEADOWS CT SE, GRAND RAPIDS, MI 49546-7931
(616) 942-8041
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006029
MI
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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