# JENNIFER AUDETTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962558023
- **Gender:** F
- **Credential:** M.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | RI000728 | RI | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 411530 | BLUE CHIP PROVIDER ID | RI |
| 01 | — | 64-00196 | UNITED HEALTH PROVIDER ID | RI |
| 01 | — | 7554-9 | BLUE CROSS PROVIDER ID | RI |