Individual
STANLEY LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 BISHOP AVE, RUMFORD, RI 02916-1223
(401) 345-1636
(401) 345-1636
Mailing address
119 BISHOP AVE, RUMFORD, RI 02916-1223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01269
RI
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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