Individual
MR. EMMANUEL ANDREOULAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC/LAT, PES
Contact information
Practice address
235 HOPE ST, PROVIDENCE, RI 02912-9090
(401) 338-3105
Mailing address
125 GOFF AVE UNIT 6101, PAWTUCKET, RI 02860-9202
(401) 338-3105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00329
RI
Other
Enumeration date
04/16/2015
Last updated
04/21/2015
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