LISA MARIE DECOSTE

PAWTUCKET, RI
NPI1306890355
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  PT01652)
Enumeration Date2006-05-22
Last Update Date2017-12-07
Business Address
Ms. LISA MARIE DECOSTE MS,PT
21 DIVISION ST
PAWTUCKET, RI 02860-5301
Phone number: 401-726-7100
Mailing Address
Ms. LISA MARIE DECOSTE MS,PT
4 RICHMOND SQ STE 200
PROVIDENCE, RI 02906-5117
Phone number: 401-433-4172