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1225184385
KATHLEEN CLANCY COOKE
PROVIDENCE, RI
NPI
1225184385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: RI 00000014)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- KATHLEEN CLANCY COOKE
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5020
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Mailing Address
-- KATHLEEN CLANCY COOKE
10 DELS LN
RIVERSIDE, RI 02915-2661
Phone number: 401-437-1197
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