Individual
TRACY MOURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
49 ANNAWAMSCUTT RD, BARRINGTON, RI 02806-1951
(401) 714-1246
Mailing address
153 NEW ST, REHOBOTH, MA 02769-2900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01245
RI
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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