Individual
MICHAELA DEANNE CARNEVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
261 MAIN ST, NORTH SMITHFIELD, RI 02896-7919
(401) 356-4777
Mailing address
604 GARDNER RD, EXETER, RI 02822-2501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01382
RI
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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