Provider Demographics
NPI:1265833800
Name:MCCOY, CARA KATHRINE KOCH (DPT)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:KATHRINE KOCH
Last Name:MCCOY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2750 GATEWAY OAKS DR
Mailing Address - Street 2:STE 310
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3658
Mailing Address - Country:US
Mailing Address - Phone:916-887-7398
Mailing Address - Fax:916-887-7332
Practice Address - Street 1:650 UNIVERSITY AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6726
Practice Address - Country:US
Practice Address - Phone:916-649-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41662225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist