Individual
CASSIDY CHIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 PLAIN ST STE 501, PROVIDENCE, RI 02905-3243
(401) 444-5495
(401) 444-5716
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01831
RI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
02/13/2026
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