HEIDI KOCH

PUYALLUP, WA
NPI1386019875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  60302122)
Enumeration Date2015-12-09
Last Update Date2015-12-09
Business Address
-- HEIDI KOCH COTA/L
400 29TH ST NE
PUYALLUP, WA 98372
Phone number: 243-840-4400
Mailing Address
-- HEIDI KOCH COTA/L
400 29TH ST NE
PUYALLUP, WA 98372-6774
Phone number: 253-840-4400