Individual
STEPHANIE MARCINKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908
(508) 641-1227
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02345
RI
Other
Enumeration date
11/23/2012
Last updated
06/23/2014
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