Individual
WILLIAM HENRY WYNNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
610 WATERMAN AVENUE, EAST PROVIDENCE, RI 02914
(401) 574-0833
(401) 213-6388
Mailing address
610 WATERMAN AVENUE, EAST PROVIDENCE, RI 02914
(401) 574-0833
(401) 213-6388
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00587
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26804
BCBS
RI
01
—
403815
BCHIP
RI
01
—
6400236
UHP
—
Enumeration date
05/03/2006
Last updated
07/08/2007
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