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1235473547
WALTER FONTES
NORTH PROVIDENCE, RI
NPI
1235473547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: RI pta00377)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
Mr. WALTER FONTES PTA
610 SMITHFIELD RD
NORTH PROVIDENCE, RI 02904-3820
Phone number: 401-353-6300
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Mailing Address
Mr. WALTER FONTES PTA
18 SUNAPEE CT
COVENTRY, RI 02816-6156
Phone number:
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