Individual
MICHAEL ROBERT POIRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATCL,CSCS
Contact information
Practice address
60 CAPITOL VIEW AVE, NORTH PROVIDENCE, RI 02908-1007
(401) 345-9621
Mailing address
60 CAPITOL VIEW AVE, NORTH PROVIDENCE, RI 02908-1007
(401) 345-9621
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00182
RI
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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