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Next Update: Thursday, April 25, 2024 2:50 AM CDT
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KOCH, NATHAN DAVID |
| Practice Address: |
VIA CHRISTI VILLAGE
1601 ACADEMY ROAD
PONCA CITY OK 74604
Address last updated on 1/1/2024 |
| Phone #: |
(580) 762-0927 |
| Fax #: |
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| County: |
KAY |
| License: |
2131 |
| Dated: |
8/10/2012 |
| Expires: |
1/31/2025 |
|
Temp.
Ltr.
Issued:
|
8/3/2012 |
|
Temp.
Ltr.
Expires:
|
9/14/2012 |
| License Type: |
Physical Therapist Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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