Individual
MR. MANUEL S OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
75 EAST ST, PROVIDENCE, RI 02903-4472
(401) 272-5280
Mailing address
75 EAST ST, PROVIDENCE, RI 02903-4472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01435
RI
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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