Individual
MS. MARYBETH MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
66 NOOSENECK HILL RD, WEST GREENWICH, RI 02817-1523
(401) 397-8399
(401) 397-8398
Mailing address
66 NOOSENECK HILL RD, WEST GREENWICH, RI 02817-1523
(401) 397-8399
(401) 397-8398
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
943
RI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
943
RI
2251S0007X
Sports Physical Therapist
Primary
RI943
RI
Other
Enumeration date
10/25/2006
Last updated
09/22/2023
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