Individual
ANNA KOCHANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
124 E 40TH ST, 402, NEW YORK, NY 10016-1723
(646) 861-1203
Mailing address
124 E 40TH ST, 402, NEW YORK, NY 10016-1723
(646) 861-1203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037985
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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