Individual
CALEB JOHN LABOSSIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 GROVE AVE, WESTERLY, RI 02891-1824
(401) 315-2995
Mailing address
63 MARSH RD, GROTON, CT 06340-5619
(860) 235-9068
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00865
RI
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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