Individual
MRS. NICOLE RENEE TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 GARNETT LN, GREENVILLE, RI 02828-1529
(401) 949-0380
(401) 949-5581
Mailing address
ONE GARNETT LANE, GREENVILLE, RI 02828-1414
(401) 949-0380
(401) 949-5581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01251
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403836
RI CLUE CHIP
RI
Enumeration date
06/13/2007
Last updated
09/27/2011
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