Individual
AMY L KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-A
Contact information
Practice address
1050 E NORRIS DR, SUITE 2A, OTTAWA, IL 61350-1605
(815) 431-5327
(815) 431-5691
Mailing address
1100 E NORRIS DR, ATTN: AUDIOLOGY, OTTAWA, IL 61350-1604
(815) 431-5327
(815) 431-5691
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000989
IL
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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