Individual
MARIA LEE MARIORENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
725 RESERVOIR AVE, SUITE 101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 943-3129
Mailing address
725 RESERVOIR AVE, SUITE 101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 944-1342
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT1040
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1040
STATE LICENSE NUMBER
RI
Enumeration date
09/10/2009
Last updated
11/07/2012
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