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1417074113
KARYN PATRICIA LIDSTONE
MIDDLETOWN, RI
NPI
1417074113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: RI PTA00702)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
Ms. KARYN PATRICIA LIDSTONE PTA
333 GREEN END AVENUE
MIDDLETOWN, RI 02842
Phone number: 401-849-7100
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Mailing Address
Ms. KARYN PATRICIA LIDSTONE PTA
40 WARCAM WAY
PORTSMOUTH, RI 02871
Phone number: 401-683-0864
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