Organization
EVOLUTION PHYSICAL THERAPY AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTEN LOPEZ SISCAMANIS DPT (OWNER)
(401) 450-2323
Entity
Organization
Contact information
Practice address
62 FRANKLIN ST UNIT 10-11, WESTERLY, RI 02891-3176
(401) 450-2323
Mailing address
62 FRANKLIN ST UNIT 10-11, WESTERLY, RI 02891-3176
(401) 450-2323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
07/22/2025
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