Individual
IAN NANNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
75 SOCKANOSSET CROSS RD, CRANSTON, RI 02920-5558
(401) 944-7574
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(502) 576-3282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03539
RI
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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