Individual
PAULA M. TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 RESERVOIR AVE, CRANSTON, RI 02910-5121
(401) 785-3334
(401) 785-3336
Mailing address
PO BOX 20372, CRANSTON, RI 02920-0944
(401) 785-1016
(401) 785-1018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01009
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT01009
STATE LICENSE
RI
Enumeration date
07/27/2006
Last updated
07/08/2007
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