KENNETH TETELBAUM

PROVIDENCE, RI
NPI1033286877
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: RI  PTA00356)
Enumeration Date2006-11-29
Last Update Date2007-07-08
Business Address
-- KENNETH TETELBAUM PTA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8661
Mailing Address
-- KENNETH TETELBAUM PTA
9 CHESTNUT ST
NARRAGANSETT, RI 02882-3903
Phone number: 401-789-9184
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