Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 00249 | RI |
N | 2251H1200X | Hand | 9105000919 | RI |
NPI | 1154386266 |
---|---|
Provider Name | Maureen H Redding |
First Address | Wakefield, RI 02879-3103 |
Second Address | Wakefield, RI 02879-3103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 08/07/2007 |