DIANE ELIZABETH KOCH

SPRINGDALE, AR
NPI1528167178
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA1241)
Enumeration Date2006-09-21
Last Update Date2007-07-08
Business Address
-- DIANE ELIZABETH KOCH PTA
1112 S 48TH ST STE B
SPRINGDALE, AR 72762-5848
Phone number: 479-751-3900
Mailing Address
-- DIANE ELIZABETH KOCH PTA
PO BOX 871
TONTITOWN, AR 72770-0871
Phone number: 479-751-3900
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