CORY CHARLES VIVEIROS

BRISTOL, RI
NPI1134716434
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI  2000006868)
Enumeration Date2020-12-22
Last Update Date2020-12-22
Business Address
Mr. CORY CHARLES VIVEIROS ATC
1 OLD FERRY RD
BRISTOL, RI 02809-2921
Phone number: 410-254-3319
Mailing Address
Mr. CORY CHARLES VIVEIROS ATC
1 OLD FERRY RD
BRISTOL, RI 02809-2921
Phone number: 410-254-3319