Individual
BRIAN MICHAEL DAIGNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
229 HOPE ST BOX 1933, PROVIDENCE, RI 02912-0001
(401) 863-3851
(401) 863-1156
Mailing address
229 HOPE ST BOX 1933, PROVIDENCE, RI 02912-0001
(401) 863-3851
(401) 863-1156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00091
RI
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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