Individual
KRISTIN ENTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
229 HOPE ST BOX 1933, PROVIDENCE, RI 02912-0001
(401) 863-3851
Mailing address
229 HOPE ST BOX 1933, PROVIDENCE, RI 02912-0001
(401) 863-3851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00388
RI
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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