Individual
TIMOTHY JOSEPH BRASSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
175 WOOD ST, BRISTOL, RI 02809-3117
(401) 253-2863
Mailing address
175 WOOD ST, BRISTOL, RI 02809-3117
(401) 253-2863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01740
RI
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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