Individual
CARY R EKELUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT00824
RI
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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