Individual
MONIKA KMIECIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
195 COLLYER ST, PROVIDENCE, RI 02904-1869
(401) 793-4080
Mailing address
104 BRENTWOOD DR, NORTH SMITHFIELD, RI 02896-8127
(401) 769-3180
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0173
RI
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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