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Individual

RACHEL BETH DEBLOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA/L

Contact information

Practice address
1401 DOUGLAS AVE, NORTH PROVIDENCE, RI 02904-4058
(401) 433-4172
(401) 433-0612
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-4172

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
20591
MA
225100000X
Physical Therapist
Primary
PT02880
RI
225200000X
Physical Therapy Assistant
7983
MA

Other

Enumeration date
07/28/2009
Last updated
07/13/2020
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