Individual
ALLISSONDRA DUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 CENTERVILLE RD FL 2, WARWICK, RI 02886-4394
(401) 732-8200
(401) 732-8230
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT03318
RI
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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