Individual
CAROLYN PATRICIA GRANATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 PARADE ST, PROVIDENCE, RI 02909-1720
(401) 351-2600
Mailing address
21 TANGLEWOOD LN, NORTH PROVIDENCE, RI 02904-8951
(401) 353-4488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6005
MA
225100000X
Physical Therapist
Primary
PT00684
RI
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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