Individual
MRS. STEPHANIE JEAN MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
725 RESERVOIR AVE, SUITE 101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 944-1342
Mailing address
725 RESERVOIR AVE, SUITE 101, CRANSTON, RI 02910-4448
(401) 944-3800
(401) 944-1342
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT02731
RI
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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