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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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