NPI 1144378472
Tina Koller
Practice location
- Address
- 2700 1st Ave S, Fort Dodge, IA 50501-4306
- Phone
- (515) 955-6922
- Fax
- (515) 955-2463
- Mailing address
- 2926 Brushy Creek Rd, Lehigh, IA 50557-7513
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1144378472
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.