Individual
KRISTIN ELAINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
501 GREAT RD, SUITE 108, NORTH SMITHFIELD, RI 02896-6833
(401) 767-2425
(401) 766-3674
Mailing address
45 DIVISION ST, WOONSOCKET, RI 02895-5310
(401) 765-0677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00168
RI
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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