Individual
MS. PAULA ANN KOCHANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17 ASHTON PKWY, CUMBERLAND, RI 02864-4827
(401) 744-5025
Mailing address
126 OLD MENDON RD, CUMBERLAND, RI 02864-5504
(401) 744-5025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00646
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00646
MASSAGE
RI
Enumeration date
03/11/2019
Last updated
03/11/2019
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