NATHAN DAVID KOCH

PONCA CITY, OK
NPI1891134680
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OK  2131)
Enumeration Date2013-06-14
Last Update Date2013-06-14
Business Address
-- NATHAN DAVID KOCH PTA
1601 ACADEMY RD
PONCA CITY, OK 74604-4409
Phone number: 580-760-0927
Mailing Address
-- NATHAN DAVID KOCH PTA
2505 WOODTHRUSH RD
PONCA CITY, OK 74604-2834
Phone number: 918-805-9042
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