Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BONNIE DE LANE KOCH, OTR/L
ActiveBONNIE DE LANE KOCH, OTR/L is a Pediatric Occupational Therapist healthcare provider located in SUN CITY WEST, Arizona. NPI 1750636627 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SUN CITY WEST, AZ
Registration Details
- NPI Number
- 1750636627
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2012 (14.073785112292 yrs)
- Last Updated
- Jul 17, 2012
- Licenses
-
5116 (AZ)1054 (CO)1081 (HI)
Practice Information
- Address
-
13420 W SAN PABLO DRSUN CITY WEST, AZ, 853756818Browse AZ providers · Browse ZIP 85375
- Phone
- 7192372649
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Pediatric Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.