Individual
DENISE L LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
407 EAST AVE STE 150, PAWTUCKET, RI 02860-5299
(401) 722-2225
(401) 722-2235
Mailing address
407 EAST AVE STE 150, PAWTUCKET, RI 02860-5299
(401) 722-2225
(401) 722-2235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 10850
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06400314
UNITED HEALTHCARE
RI
01
—
22211
RHODE BLUE CROSS
RI
01
—
2499706
AETNA US HEALTHCARE
RI
01
—
405323
RHODE ISLAND BLUECHIP
RI
01
—
4259
NEIGHBORHOOD HEALTH PLAN
RI
01
—
610805800
FEDERAL WORKERS COMPENSAT
RI
Enumeration date
08/10/2006
Last updated
10/19/2018
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