Individual
MARIE THERESE JOAN SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
25 WEST INDEPENDENCE WAY, KINGSTON, RI 02881
(401) 874-2006
(401) 874-5630
Mailing address
25 WEST INDEPENDENCE WAY, KINGSTON, RI 02881
(401) 874-2006
(401) 874-5630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01173
RI
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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