Individual
KATHINA TAYAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, PA-C
Contact information
Practice address
1598 S COUNTY TRL STE 100, EAST GREENWICH, RI 02818-1762
(401) 443-4100
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL3373
FL
363A00000X
Physician Assistant
Primary
PA01227
RI
363A00000X
Physician Assistant
PA7576
MA
Other
Enumeration date
09/26/2014
Last updated
07/02/2020
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