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1033663943
HAILEY I SHORE
PROVIDENCE, RI
NPI
1033663943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT02943)
Enumeration Date
2016-08-09
Last Update Date
2017-12-12
Business Address
HAILEY I SHORE DPT
49 SEEKONK ST
PROVIDENCE, RI 02906-5176
Phone number: 401-230-1126
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Mailing Address
HAILEY I SHORE DPT
4 RICHMOND SQ STE 200
PROVIDENCE, RI 02906-5117
Phone number: 401-433-4172
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