Individual
PATRICK WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6 BLACKSTONE VALLEY PL, STE. 530, LINCOLN, RI 02865-1179
(401) 334-3700
Mailing address
588 PAWTUCKET AVE, PAWTUCKET, RI 02860-6057
(401) 722-2400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9565
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780672709
GROUP NPI#
—
Enumeration date
08/07/2006
Last updated
02/13/2008
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