Individual
LIAM SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
640 GEORGE WASHINGTON HWY, BLD B, SUITE 11, LINCOLN, RI 02865
(401) 475-6599
Mailing address
80 ARIEL CIR, SUTTON, MA 01590-4824
(774) 545-0878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03873
RI
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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