Individual
JONATHAN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 TOLL GATE RD STE 205, WARWICK, RI 02886-4461
(401) 773-7272
Mailing address
1 DWIGHT ST, CRANSTON, RI 02921-1126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA01014
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA01014
STATE LICENSE
RI
Enumeration date
02/18/2015
Last updated
02/18/2015
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