Individual
DAVID P DANSEREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1764 MENDON RD, SUITE 5, CUMBERLAND, RI 02864-4392
(401) 241-2803
Mailing address
1764 MENDON RD, SUITE 5, CUMBERLAND, RI 02864-4392
(401) 241-2803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01557
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15260
MASS LICENSE #
MA
01
—
PT01557
STATE LICENSE
RI
Enumeration date
11/19/2008
Last updated
11/07/2016
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