KELLY DIANA KOCH

CHICAGO, IL
NPI1346518891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.008959)
Enumeration Date2011-12-12
Last Update Date2011-12-12
Business Address
Mrs. KELLY DIANA KOCH MS, MOTR/L
11143 S. TROY
CHICAGO, IL 60655
Phone number: 773-621-4868
Mailing Address
Mrs. KELLY DIANA KOCH MS, MOTR/L
11143 S. TROY
CHICAGO, IL 60655
Phone number: 773-621-4868
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