Individual
NICOLE F ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 TOLL GATE RD, WARWICK, RI 02886-4458
(401) 773-7272
Mailing address
55 ROYAL AVE, CRANSTON, RI 02920-2407
(401) 601-5907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03324
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT03324
RI DEPARTMENT OF HEALTH - PHYSICAL THERAPY
RI
Enumeration date
09/29/2020
Last updated
09/29/2020
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