Individual
MISS AMANDA KELLY CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
765 ALLENS AVE STE 102, PROVIDENCE, RI 02905-5443
(401) 444-5418
Mailing address
4 WADE DR, GREENVILLE, RI 02828-2624
(401) 575-3825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02988
RI
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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