Kimberly A Champagne, PTA
Physical Therapy Assistant in Warwick, RI. Individual provider (NPI-1).
NPI number1629576988
StatusActive
Last updated in NPPESJan 31, 2018
Details
- NPI
- 1629576988
- Entity type
- Individual (NPI-1)
- Name
- Kimberly A Champagne
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2018
- Last updated
- Jan 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA01156 | RI | Yes |
Practice location
2191 Post RdWarwick, RI 02886-1532
Phone 401-681-4885
Mailing address
123 Harmony CtWarwick, RI 02889-1426
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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