Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 21243 | CA |
N | 2251G0304X | Physical Therapist - Geriatrics | 21243 | CA |
NPI | 1164441911 |
---|---|
Provider Name | Mr. Kevin M Ochs |
First Address | Tracy, CA 95376-8315 |
Second Address | Livermore, CA 94550-9650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |