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Organization
BODY KNEADS, INC
Active
Organization
BODY KNEADS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MOUTAHIR LMT (PRESIDENT)
(401) 453-4263
Entity
Organization
Contact information
Practice address
251 WATERMAN ST, PROVIDENCE, RI 02906-5210
(401) 453-4263
Mailing address
251 WATERMAN ST, PROVIDENCE, RI 02906-5210
(401) 453-4263
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2012
Last updated
01/14/2012
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