Jennifer Koch, PTA

NPI #1073987293 in Morton, Illinois

Provider Information

NPI Number: 1073987293
Entity Type: Individual
Name: Jennifer Koch, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 26, 2015
Last Updated: Nov 26, 2015

Practice Location

Address: 209 S INDIANA AVE
City: Morton
State: Illinois
ZIP Code: 61550-2627
Phone: (217) 737-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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