Individual
MS. CAROLYN EMILY BIBEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5418
Mailing address
30 WOODBURY RD, CRANSTON, RI 02905-3317
(401) 467-9258
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
730
RI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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