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1306890355
LISA MARIE DECOSTE
PAWTUCKET, RI
NPI
1306890355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT01652)
Enumeration Date
2006-05-22
Last Update Date
2017-12-07
Business Address
Ms. LISA MARIE DECOSTE MS,PT
21 DIVISION ST
PAWTUCKET, RI 02860-5301
Phone number: 401-726-7100
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Mailing Address
Ms. LISA MARIE DECOSTE MS,PT
4 RICHMOND SQ STE 200
PROVIDENCE, RI 02906-5117
Phone number: 401-433-4172
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