Bonnie De Lane Koch, OTR/L - Occupational Therapist in Sun City West, AZ

Bonnie De Lane Koch, OTR/L is a Occupational Therapist - Pediatrics based in Sun City West, Arizona. Bonnie De Lane Koch is licensed to practice in Arizona (license number 5116) and her current practice location is 13420 W San Pablo Dr, Sun City West, Arizona. She can be reached at her office (for appointments etc.) via phone at (719) 237-2649.

NPI number for Bonnie De Lane Koch is 1750636627 and her current mailing address is 13420 W San Pablo Dr, Sun City West, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750636627.

Contact Information

Bonnie De Lane Koch, OTR/L
13420 W San Pablo Dr,
Sun City West, AZ 85375-6818
(719) 237-2649
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBonnie De Lane Koch
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location13420 W San Pablo Dr, Sun City West, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750636627
  • Provider Enumeration Date: 07/17/2012
  • Last Update Date: 07/17/2012

Medical Identifiers

Medical identifiers for Bonnie De Lane Koch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750636627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 5116 (Arizona)Primary
225XP0200XOccupational Therapist - Pediatrics 1054 (Colorado)Secondary
225XP0200XOccupational Therapist - Pediatrics 1081 (Hawaii)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonnie De Lane Koch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bonnie De Lane Koch, OTR/L
13420 W San Pablo Dr,
Sun City West, AZ 85375-6818

Ph: (719) 237-2649
Bonnie De Lane Koch, OTR/L
13420 W San Pablo Dr,
Sun City West, AZ 85375-6818

Ph: (719) 237-2649

Reviews and Comments


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Mr. Thomas C Riley, OT
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Practice Location: 14418 W Meeker Blvd Ste 301, Sun City West, AZ 85375
Phone: 623-524-4038    Fax: 623-524-6674

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