Individual
KEALAN WINTERS FAERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 ROMANO VINEYARD WAY STE 120, NORTH KINGSTOWN, RI 02852-8428
(401) 268-6400
Mailing address
46 ISLAND DR, MIDDLETOWN, RI 02842-7508
(401) 684-4686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00724
RI
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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