Individual
JOYCE ANN CHAMPLIN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 LLOYD AVE, PROVIDENCE, RI 02906-2313
(401) 831-7350
Mailing address
250 LLOYD AVE, PROVIDENCE, RI 02906-2313
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
079102444
RI
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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