Individual
LISANNE M LANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
310 MAPLE AVE, SUITE 104, BARRINGTON, RI 02806-3430
(401) 247-0500
(401) 247-0507
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
PT01870
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT01870
STATE LICENSE NUMBER
RI
Enumeration date
02/08/2007
Last updated
11/21/2008
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