Individual
MR. MATTHEW BOCCANFUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
979 EAST AVE, UNIT A, OAKLAND, RI 02858
(401) 371-2890
(401) 371-2892
Mailing address
979 EAST AVE, UNIT A, OAKLAND, RI 02858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA01042
RI
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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