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1417028093
MONIKA KMIECIK
PROVIDENCE, RI
NPI
1417028093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: RI 0173)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- MONIKA KMIECIK PTA
195 COLLYER ST
PROVIDENCE, RI 02904-1869
Phone number: 401-793-4080
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Mailing Address
-- MONIKA KMIECIK PTA
104 BRENTWOOD DR
NORTH SMITHFIELD, RI 02896-8127
Phone number: 401-769-3180
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