Individual
MRS. LORI S DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
927B WARREN AVE, EAST PROVIDENCE, RI 02914-1423
(401) 438-0905
(401) 438-0903
Mailing address
927B WARREN AVE, EAST PROVIDENCE, RI 02914-1423
(401) 438-0905
(401) 438-0903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01476
RI
Other
Enumeration date
04/17/2006
Last updated
12/04/2023
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