Individual
MISS ELISA ANN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6677 W THUNDERBIRD RD, BUILDING C SUITE 142, GLENDALE, AZ 85306-3709
(480) 222-0655
(480) 222-1457
Mailing address
15455 N GREENWAY HAYDEN LOOP, C16, SCOTTSDALE, AZ 85260-1611
(480) 222-0655
(480) 222-1457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1648
AZ
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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