Individual
TOOTLES FACCENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 WATERMAN ST, PROVIDENCE, RI 02906-5235
(401) 453-4263
Mailing address
251 WATERMAN ST, PROVIDENCE, RI 02906-5235
(401) 453-4263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01941
RI
Other
Enumeration date
09/13/2021
Last updated
01/19/2023
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