Individual
MRS. DEBORAH LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
455 DOUGLAS AVE, PROVIDENCE, RI 02908-2542
(401) 553-8600
Mailing address
455 DOUGLAS AVE, PROVIDENCE, RI 02908-2542
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00452
RI
Other
Enumeration date
11/27/2012
Last updated
08/07/2013
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