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Mark Kenneth Andrew, MSPT

Physical Therapist in Providence, RI. Individual provider (NPI-1).

NPI number1336212232
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1336212232
Entity type
Individual (NPI-1)
Name
Mark Kenneth Andrew
Credential
MSPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 16, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1922RIYes

Practice location

593 Eddy St
Providence, RI 02903-4923

Phone 401-444-5418

Mailing address

7 Cecile St
Lincoln, RI 02865-3209

Phone 401-864-5723

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