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1386019875
HEIDI KOCH
PUYALLUP, WA
NPI
1386019875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA 60302122)
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
-- HEIDI KOCH COTA/L
400 29TH ST NE
PUYALLUP, WA 98372
Phone number: 243-840-4400
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Mailing Address
-- HEIDI KOCH COTA/L
400 29TH ST NE
PUYALLUP, WA 98372-6774
Phone number: 253-840-4400
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