MARK KENNETH ANDREW

PROVIDENCE, RI
NPI1336212232
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  1922)
Enumeration Date2006-11-16
Last Update Date2007-07-08
Business Address
-- MARK KENNETH ANDREW MSPT
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-5418
Mailing Address
-- MARK KENNETH ANDREW MSPT
7 CECILE ST
LINCOLN, RI 02865-3209
Phone number: 401-864-5723