Individual
KYLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 PROMENADE ST, PROVIDENCE, RI 02908-5794
(401) 459-4008
(401) 459-4010
Mailing address
285 PROMENADE ST, PROVIDENCE, RI 02908-5794
(401) 459-4008
(401) 459-4010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02412
RI
Other
Enumeration date
08/28/2009
Last updated
03/27/2016
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