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Individual

KELSEY QUINN MEDEIROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-1100
Mailing address
5 SHARON ST, FAIRHAVEN, MA 02719-4401
(774) 929-0844

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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