Individual
MEGAN BRUNELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 SANDERSON RD STE 101, SMITHFIELD, RI 02917-2611
(401) 433-4172
(401) 433-0612
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14.010038
CT
225100000X
Physical Therapist
Primary
PT03307
RI
Other
Enumeration date
06/04/2015
Last updated
08/27/2020
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