Renee Koch, PTA

NPI #1659091544 in Camillus, New York

Provider Information

NPI Number: 1659091544
Entity Type: Individual
Name: Renee Koch, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 31, 2022
Last Updated: Aug 31, 2022

Practice Location

Address: 5700 W GENESEE ST STE 2
City: Camillus
State: New York
ZIP Code: 13031-3202
Phone: (315) 468-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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