Individual
MR. ARTHUR ENTWISTLE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, ATC, LAT
Contact information
Practice address
530 IVES RD, EAST GREENWICH, RI 02818-4609
(401) 884-9070
Mailing address
136 BOTKA DR, CHARLESTOWN, RI 02813-3703
(401) 556-4305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00254
RI
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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