Individual
MISS LAUREN KATE GESUALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7949
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 864-5597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02409
RI
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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