Mr Mark Edward Kochkodan, LMT | |
2415 N Dixie Hwy, Wilton Manors, FL 33305-2239 | |
(954) 563-0001 | |
Not Available |
Full Name | Mr Mark Edward Kochkodan |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 2415 N Dixie Hwy, Wilton Manors, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033379029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA31242 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Edward Kochkodan, LMT 2415 N. Dixie Hwy, Chi Spa, Wilton Manors, FL 33305 Ph: (954) 563-0001 | Mr Mark Edward Kochkodan, LMT 2415 N Dixie Hwy, Wilton Manors, FL 33305-2239 Ph: (954) 563-0001 |
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