Michele Annette Koch, PT, CLT-LANA, WCC

NPI #1114633542 in Capitola, California

Provider Information

NPI Number: 1114633542
Entity Type: Individual
Name: Michele Annette Koch, PT, CLT-LANA, WCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, CLT-LANA, WCC
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 2045 40TH AVE STE A
City: Capitola
State: California
ZIP Code: 95010-2549
Phone: (831) 465-7988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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