Individual
KELLIE FOKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
765 ALLENS AVE, PROVIDENCE, RI 02905-5443
(401) 444-3500
Mailing address
139 WEST ST, ATTLEBORO, MA 02703-2631
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
03136
RI
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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