Individual
SHAUN CHEVALIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 270-2500
Mailing address
107 LAURISTON ST, PROVIDENCE, RI 02906-3603
(401) 225-4196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01279
RI
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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