Individual
DEREK HAYWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 WOODLAND DR, COVENTRY, RI 02816-6716
(401) 826-2000
Mailing address
10 WOODLAND DR, COVENTRY, RI 02816-6716
(401) 826-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00731
RI
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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