# LIVING ESSENCE PHYSICAL THERAPY & HERBAL PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225218563
- **Authorized official:** MRS. KERRI LEE IALONGO GILLETTE PT (OWNER/ PRACTIONER)
- **Authorized official phone:** (401) 954-1807

## Contact information

- **Practice address:** 38 BROWN ST, 2ND FLOOR, FRONT, NORTH KINGSTOWN, RI 02852-5039
- **Practice address phone:** (401) 954-1807
- **Practice address fax:** (401) 295-5002
- **Mailing address:** 69 CHESTNUT RD, NORTH KINGSTOWN, RI 02852-3904
- **Mailing address phone:** (401) 954-1807
- **Mailing address fax:** (401) 295-5002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1253 | RI | Yes |

## Other

- **Enumeration date:** 11/04/2007
- **Last updated:** 11/04/2007