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Individual

KELSEY ELIZABETH HARROLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
770 WESTMINSTER ST, PROVIDENCE, RI 02903-4019
(401) 456-9145
Mailing address
36 CAPTAIN JOHN JACOBS RD APT 311, EAST PROVIDENCE, RI 02914-5374
(401) 450-5485

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RI

Other

Enumeration date
01/11/2019
Last updated
01/11/2019
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