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Individual

VICTORIA MARGARET PEIXOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
178 NORWOOD AVE, CRANSTON, RI 02905-3923
(401) 302-1264
Mailing address
22 DEWEY AVE, NORTH PROVIDENCE, RI 02911-1803
(401) 617-6238

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTA01221
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA01221
PHYSICAL THERAPY LICENSE
RI
Enumeration date
01/14/2021
Last updated
01/14/2021
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