Individual
JOHN WESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 254-1105
Mailing address
1180 HOPE ST, BRISTOL, RI 02809-1126
(401) 254-1105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01763
RI
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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