Individual
MARY GREENLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 MAIN STREET SUITE 101, NORTH SMITHFIELD, RI 02896
(401) 356-4777
Mailing address
180 WELLSPRING DRIVE, WARWICK, RI 02886
(401) 225-2738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00479
RI
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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