Individual
KRISTIN MAIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 NIPMUC RD, FOSTER, RI 02825-1504
(401) 714-8112
Mailing address
130 NIPMUC RD, FOSTER, RI 02825-1504
(401) 714-8112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01025
RI
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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