Provider Demographics
NPI:1972244093
Name:ONA KOCHA
Entity Type:Organization
Organization Name:ONA KOCHA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MIKULSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-933-5158
Mailing Address - Street 1:3250 W BIG BEAVER RD STE 127
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-2902
Mailing Address - Country:US
Mailing Address - Phone:248-906-8475
Mailing Address - Fax:
Practice Address - Street 1:3250 W BIG BEAVER RD STE 127
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-2902
Practice Address - Country:US
Practice Address - Phone:248-906-8475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)Group - Single Specialty