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Organization
A FITTING EXPERIENCE
Active
Organization
A FITTING EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY S RADIN (OWNER)
(401) 398-2639
Entity
Organization
Contact information
Practice address
266 WATERMAN ST, PROVIDENCE, RI 02906-5203
(401) 521-3928
Mailing address
266 WATERMAN ST, PROVIDENCE, RI 02906-5203
(401) 521-3928
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
NA
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2920001
—
RI
Enumeration date
04/03/2006
Last updated
07/30/2008
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