Individual
MS. CAROLE MACHAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-5080
Mailing address
349 SUMNER AVE, WARWICK, RI 02888-2500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00233
RI
225200000X
Physical Therapy Assistant
2656
MA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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