Individual
KELLY MATISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12 STILSON RD, RICHMOND, RI 02898-1026
(401) 726-7100
(401) 539-4601
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03627
RI
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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