# DAVID P DANSEREAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487809323
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT01557 | RI | Yes |

## Other

- **Enumeration date:** 11/19/2008
- **Last updated:** 11/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 15260 | MASS LICENSE \# | MA |
| 01 | — | PT01557 | STATE LICENSE | RI |