Individual
MRS. JENNIFER MARIE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
2075 NOOSENECK HILL RD, COVENTRY, RI 02816-6709
(401) 397-8399
Mailing address
1383 MAPLE VALLEY RD, GREENE, RI 02827-1627
(401) 385-3424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01396
RI
Other
Enumeration date
09/06/2008
Last updated
09/06/2008
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