Individual
MR. GERARD EMERY ST.JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
6 ENDICOTT ST, JOHNSTON, RI 02919-2706
(508) 965-0496
(401) 232-2471
Mailing address
6 ENDICOTT ST, JOHNSTON, RI 02919-2706
(508) 965-0496
(401) 232-2471
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16801
MA
225100000X
Physical Therapist
PT02059
RI
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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