Individual
LINDA MARIE THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
994 RESERVOIR AVE, CRANSTON, RI 02910-5122
(401) 946-1155
(401) 942-2303
Mailing address
994 RESERVOIR AVE, CRANSTON, RI 02910-5122
(401) 946-1155
(401) 942-2303
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
236
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200590
BLUE CHIP
RI
01
—
27-00219
UNITED HEALTH
RI
01
—
7030-2
BLUE CROSS
RI
01
—
767584
TUFTS
RI
05
—
9007030
—
RI
Enumeration date
11/01/2006
Last updated
02/03/2025
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