Individual
DIANE M MANCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
51 HOPKINS HILL RD, COVENTRY, RI 02816
(401) 828-3030
(401) 828-3083
Mailing address
66 HELEN AVE, COVENTRY, RI 02816
(401) 440-6971
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
01788
RI
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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