Individual
JESSICA E CLAYBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
444 ANGELL ST, PROVIDENCE, RI 02906-4481
(401) 256-9159
Mailing address
444 ANGELL ST, PROVIDENCE, RI 02906-4481
(401) 256-9159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15317
MA
225100000X
Physical Therapist
Primary
PT01719
RI
Other
Enumeration date
05/12/2006
Last updated
01/09/2019
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