Individual
CRISOLITA DACRUZ BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 MASSASOIT AVE, EAST PROVIDENCE, RI 02914-2012
(401) 490-7610
Mailing address
40 HOPKINS AVE, JOHNSTON, RI 02919-1506
(401) 862-7854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02077
RI
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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