Individual
JESSICA BAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
727 EAST AVE, PAWTUCKET, RI 02860-6184
(401) 365-6800
(401) 365-6939
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
(401) 275-5645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01281
RI
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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