Individual
KIMBERLY A CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2191 POST RD, WARWICK, RI 02886-1532
(401) 681-4885
Mailing address
123 HARMONY CT, WARWICK, RI 02889-1426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01156
RI
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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