Individual
GLENDA GABRIELA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
10 RHODES AVE, NORTH SMITHFIELD, RI 02896-6987
(401) 767-3500
Mailing address
109 FAIRVIEW ST, PROVIDENCE, RI 02908-3924
(401) 451-1792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03120
RI
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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