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Individual

MR. STEPHEN EDWARD GRUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1524 ATWOOD AVE, SUITE 104, JOHNSTON, RI 02919-3228
(401) 351-6200
Mailing address
1524 ATWOOD AVE, JOHNSTON, RI 02919-3228
(401) 351-6200

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01629
RI

Other

Enumeration date
10/26/2010
Last updated
10/26/2010
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