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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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