Camille Marie Koch
Physical Therapist - Geriatrics
9651 Prairie Ridge Blvd
Pleasant Prairie
, Wisconsin 53158-1948
Camille Marie Koch
Physical Therapist - Geriatrics
9651 Prairie Ridge Blvd
Pleasant Prairie
, Wisconsin 53158-1948
(612) 816-0366
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Camille Marie Koch
- 4885 Magnolia Ln N
- Plymouth, MN
- Zip : 55442-2078
- Phone : (612) 816-0366
Second Address
- Camille Marie Koch
- 9651 Prairie Ridge Blvd
- Pleasant Prairie, WI
- Zip : 53158-1948
- Phone : (262) 333-8158
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics |
National Provider Identifier
| NPI | 1104485853 |
|---|---|
| Provider Name | Camille Marie Koch |
| First Address | Plymouth, MN 55442-2078 |
| Second Address | Pleasant Prairie, WI 53158-1948 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2019 |
| Last Update Date | 06/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.