Individual
NICHOLAS MARK KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3925 DOWNS DR, CHANTILLY, VA 20151-3308
(877) 407-3422
(877) 407-4329
Mailing address
1000 ELMWOOD AVE STE 400, ROCHESTER, NY 14620-3042
(585) 271-0680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
021605
NY
225X00000X
Occupational Therapist
Primary
OC015725
PA
Other
Enumeration date
07/12/2017
Last updated
04/21/2026
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