Individual
ROSS LABOSSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
320 PHILLIPS ST STE 101, NORTH KINGSTOWN, RI 02852-5149
(401) 423-4433
(401) 204-1100
Mailing address
320 PHILLIPS ST STE 101, NORTH KINGSTOWN, RI 02852-5149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
710001422
—
RI
Enumeration date
01/23/2023
Last updated
01/23/2023
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