Individual
ANNA C KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
(870) 932-1820
Mailing address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
(870) 932-1820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3879
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3879
PHYSICAL THERAPY LICENSE NUMBER
AR
Enumeration date
01/19/2021
Last updated
01/22/2021
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