Individual
STEPHEN CINQUEGRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2 DUDLEY ST, STE 200, PROVIDENCE, RI 02905-3236
(401) 457-1590
(401) 831-0389
Mailing address
2 DUDLEY ST, STE 200, PROVIDENCE, RI 02905-3236
(401) 457-1590
(401) 831-0389
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2393
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02393
MEDICAL LICENSE
RI
Enumeration date
08/30/2011
Last updated
02/09/2012
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