Individual
JENNIFER MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
740 OAK HILL RD, NORTH KINGSTOWN, RI 02852-7205
(401) 294-4545
Mailing address
PO BOX 1125, HOPE VALLEY, RI 02832-7125
(860) 271-6095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01280
RI
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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