Individual
MAX FOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 DOUGLAS AVE, NORTH PROVIDENCE, RI 02904-4058
(401) 726-7100
(401) 434-4521
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
Primary
PT03313
RI
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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