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1093062804
ROBERT JASON GRUTTADAURIA
PROVIDENCE, RI
NPI
1093062804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT02498)
Enumeration Date
2012-08-10
Last Update Date
2017-12-07
Business Address
ROBERT JASON GRUTTADAURIA PT
49 SEEKONK ST
PROVIDENCE, RI 02906-5176
Phone number: 401-230-1126
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Mailing Address
ROBERT JASON GRUTTADAURIA PT
4 RICHMOND SQ STE 200
PROVIDENCE, RI 02906-5117
Phone number: 401-433-4172
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