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Individual

ELIZABETH DEMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
407 EAST AVE STE 150, PAWTUCKET, RI 02860-5299
(401) 722-2225
(401) 722-2235
Mailing address
407 EAST AVE STE 150, PAWTUCKET, RI 02860-5299
(401) 722-2225
(401) 722-2235

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00502
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050498997
TRICARE
RI
01
06400314
UNITED HEALTHCARE
RI
01
22169
RHODE ISLAND BLUE CROSS
RI
01
2499568
AETNA US HEALTHCARE
RI
01
407232
RHODE ISLAND BLUECHIP
RI
01
4259
NEIGHBORHOOD HEALTH PLAN
RI
01
610805800
FEDERAL WORKERS COMPENSAT
RI
Enumeration date
08/10/2006
Last updated
10/19/2018
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