Provider Demographics
NPI:1821776139
Name:KOCH, CYNTHIA ROSE (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ROSE
Last Name:KOCH
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:57 SANCHEZ ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1118
Mailing Address - Country:US
Mailing Address - Phone:415-269-9373
Mailing Address - Fax:
Practice Address - Street 1:22 BATTERY ST STE 888
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-5522
Practice Address - Country:US
Practice Address - Phone:415-388-8166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2024-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA3043312251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist