Connie L Koczur

NPI #1700178134 in Sublimity, Oregon

Provider Information

NPI Number: 1700178134
Entity Type: Individual
Name: Connie L Koczur
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 4, 2011
Last Updated: Mar 25, 2016

Practice Location

Address: 12113 GOLF LN SE
City: Sublimity
State: Oregon
ZIP Code: 97385-9707
Phone: (503) 910-8663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary
Home Health Aide	374U00000X

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