Provider Demographics
NPI:1871800623
Name:DMOCH, KATARZYNA KRYSTYNA (DPT)
Entity type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:KRYSTYNA
Last Name:DMOCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 POINT JUDITH RD
Mailing Address - Street 2:SUITE 33
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-3451
Mailing Address - Country:US
Mailing Address - Phone:401-789-2077
Mailing Address - Fax:401-782-4762
Practice Address - Street 1:140 POINT JUDITH RD
Practice Address - Street 2:SUITE 33
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-3451
Practice Address - Country:US
Practice Address - Phone:401-789-2077
Practice Address - Fax:401-782-4762
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIPT023272251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic