Individual
MR. TERRY THEODORE SIRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
20 NEWFIELD AVE, WARWICK, RI 02888-1810
(401) 270-0067
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
00537
RI
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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