Individual
MARK KOCHANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7380 VOLKSWAGEN DR, STE 190A, CHATTANOOGA, TN 37416-1755
(423) 933-1672
(423) 933-1675
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBS - GROUP NUMBER
TN
Enumeration date
05/17/2006
Last updated
01/31/2014
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