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Individual

JOSHUA R KINGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
261 MAIN ST, SUITE 101, NORTH SMITHFIELD, RI 02896-7919
(401) 356-4777
Mailing address
69 VERNON DR, CHEPACHET, RI 02814-4422

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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