Individual
JENNIFER DESAUTELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 RHODES AVE, NORTH SMITHFIELD, RI 02896-6987
(401) 767-3500
Mailing address
4 BRANDY WINE CIR, DOUGLAS, MA 01516-2087
(774) 573-2862
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01047
RI
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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