Individual
SUZANNE GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
31 SHOVE ST, TIVERTON, RI 02878-1029
(401) 624-4743
(401) 624-7291
Mailing address
31 SHOVE ST, TIVERTON, RI 02878-1029
(401) 624-4743
(401) 624-7291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17020
MA
Other
Enumeration date
08/20/2009
Last updated
10/10/2012
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