Individual
MS. KARYN PATRICIA LIDSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
NMRTC NEW ENGLAND, 43 SMITH ROAD, NEWPORT, RI 02841
(401) 841-3141
Mailing address
40 WARCAM WAY, PORTSMOUTH, RI 02871
(401) 683-0864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00702
RI
Other
Enumeration date
03/26/2007
Last updated
01/10/2025
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