Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PTA01165 | RI |
NPI | 1033766985 |
---|---|
Provider Name | Britany Michelle Gonsalves |
First Address | Fall River, MA 02724-6239 |
Second Address | Middletown, RI 02842-7029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2019 |
Last Update Date | 23/08/2019 |