Organization
SEEDS OF CHANGE COACHING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA LYNN FITZGERALD LATC, MSPT, DPT, (PHYSICAL THERAPIST)
(401) 787-3627
Entity
Organization
Contact information
Practice address
144 WATERMAN ST, PROVIDENCE, RI 02906-2126
(401) 787-3627
Mailing address
47 WOODMIST CIR, COVENTRY, RI 02816-7555
(401) 787-3627
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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