Search › Rhode Island › 172V00000X
Koren Carbuccia
NPI 1699385831 · on the registry since 2020 · sole proprietor
Practice
- Address
- 25 Maple St
Pawtucket, RI 02860 - Phone
- (401) 290-8076
- Organisation at this address
- Wild Rose Therapy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 175T00000X
374J00000X - Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island