Individual
CYNTHIA KAY WISTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
21 DIVISION ST, PAWTUCKET, RI 02860-5352
(017) 267-1004
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
24042
MA
225100000X
Physical Therapist
8764
MN
225100000X
Physical Therapist
Primary
PT03378
RI
Other
Enumeration date
07/25/2011
Last updated
05/20/2021
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