Individual
BRYAN FREDRICK KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
608 13TH ST S, WB 104, BIRMINGHAM, AL 35294
(205) 934-7588
(205) 975-9258
Mailing address
608 13TH ST S, WB 104, BIRMINGHAM, AL 35294
(205) 934-7588
(205) 975-9258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
378
AL
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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