Individual provider · NPI-1
Lindsey Marie Fernandes
Physical Therapy Assistant · Warwick, RI
NPI number1205513371
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1205513371
- Entity type
- Individual (NPI-1)
- Name
- Lindsey Marie Fernandes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2023
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
1139 Main AveWarwick, RI 02886-1940
Phone 401-739-6600
Mailing address
40 Cliffdale AveCranston, RI 02905-2625
Phone 508-837-8967
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