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1013276278
BRANDI NICOLE KOCH
RUSSELLVILLE, AR
NPI
1013276278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT3295)
Enumeration Date
2012-05-09
Last Update Date
2023-01-10
Business Address
Ms. BRANDI NICOLE KOCH PT, DPT
1301 RUSSELL RD
RUSSELLVILLE, AR 72802-4320
Phone number: 479-967-2316
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Mailing Address
Ms. BRANDI NICOLE KOCH PT, DPT
PO DRAWER 2109
RUSSELLVILLE, AR 72811
Phone number: 479-967-2322
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