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NPI Code Detail

MEDICARE: MRS. LAURA ANNE KOH CCC-SLP

MEDICARE: MRS. LAURA ANNE KOH CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP7888OH

General Provider Information

NPI Number : 1609094143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA ANNE KOH CCC-SLP
Provider Business Mailing Address
First Line : 142 SANDUSKY ST
Second Line :
City : PLYMOUTH
State : OH
Zip : 44865-1133
Country : US
Telephone Number : 419-929-1563
Fax Number :
Provider Business Practice Location Address
First Line : 1069 US HIGHWAY 224
Second Line :
City : NOVA
State : OH
Zip : 44859-9770
Country : US
Telephone Number : 419-652-2219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LAURA ANNE KOH CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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