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Individual

GRACE FAITH SUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
765 ALLENS AVE STE 110, PROVIDENCE, RI 02905-5443
(401) 432-6800
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD20691
RI
390200000X
Student in an Organized Health Care Education/Training Program
0

Other

Enumeration date
03/25/2020
Last updated
05/29/2025
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