GERRIT CHARLES KOCKX

ALOHA, OR
NPI1205026655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  2117)
Enumeration Date2007-07-31
Last Update Date2007-07-31
Business Address
Mr. GERRIT CHARLES KOCKX PT
1885 NW 185TH AVE STE 102
ALOHA, OR 97006-2794
Phone number: 503-216-9760
Mailing Address
Mr. GERRIT CHARLES KOCKX PT
1000 SW VISTA AVE APT 1118
PORTLAND, OR 97205-1141
Phone number: 503-499-6574