Individual
CAN YAVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2191 POST RD, WARWICK, RI 02886-1509
(401) 681-4885
Mailing address
2191 POST RD, WARWICK, RI 02886-1509
(401) 681-4885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00838-G
RI
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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