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Individual

MAGGIE DUFAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
600 COLE FARM RD UNIT B32, WARWICK, RI 02889-1368
(401) 523-9631
Mailing address
600 COLE FARM RD UNIT B32, WARWICK, RI 02889-1368
(401) 523-9631

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10656R
LA
225100000X
Physical Therapist
Primary
2305213001
VA
225100000X
Physical Therapist
24957
MA
225100000X
Physical Therapist
27723
MD
225100000X
Physical Therapist
5184
NH

Other

Enumeration date
08/22/2019
Last updated
11/02/2023
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