Individual
MRS. LISA ANN RENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
70 GILL AVE, PAWTUCKET, RI 02861-4315
(401) 722-7900
(401) 723-9670
Mailing address
10 LAKEVIEW AVE, LINCOLN, RI 02865-3905
(401) 334-4966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01329
RI
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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