Individual
MRS. LINDA HELEN CARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 PONTIAC AVE, CRANSTON, RI 02920-4406
(401) 738-6450
(401) 732-5369
Mailing address
1580 PONTIAC AVE, CRANSTON, RI 02920-4406
(401) 738-6450
(401) 732-5369
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CO00006
RI
225000000X
Orthotic Fitter
Primary
CO00006
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9009703
—
RI
01
—
9703
BC BS OF RI
PR
Enumeration date
03/15/2007
Last updated
09/10/2009
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