Renee Michelle Koch, LPTA
NPI #1861787541 in Gloucester, Virginia
Provider Information
- NPI Number
- 1861787541
- Entity Type
- Individual
- Name
- Renee Michelle Koch, LPTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Jun 10, 2011
- Last Updated
- Jun 10, 2011
Practice Location
- Address
- 6688 MAIN ST
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5194
- Phone
- (804) 210-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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