KOANN THERAPEUTIC SERVICES INC

PROVIDENCE, RI
NPI1639843303
Doing Business AsREVIVE THERAPEUTIC SERVICES
Entity TypeOrganization
Authorized ContactAKOS ANTWI
Provider
401-648-7172
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2021-08-05
Last Update Date2022-01-10
Business Address
KOANN THERAPEUTIC SERVICES INC
382 THAYER ST
PROVIDENCE, RI 02906-1558
Phone number: 401-648-7172
Mailing Address
KOANN THERAPEUTIC SERVICES INC
PO BOX 3085
PAWTUCKET, RI 02861-0585
Phone number:
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