Individual
LAURA FRISARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
Mailing address
721 RESERVOIR AVE, CRANSTON, RI 02910-4430
(401) 946-4250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8112
MA
225100000X
Physical Therapist
Primary
PT00836
RI
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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