MATTHEW SHANE DONNELLY ST GERMAIN

WARWICK, RI
NPI1417228016
Former NameMATTHEW SHANE DONNELLY
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: RI  705)
Enumeration Date2012-01-13
Last Update Date2023-11-07
Business Address
MATTHEW SHANE DONNELLY ST GERMAIN RN, LMT
422 POST RD SUITE G2
WARWICK, RI 02888-2802
Phone number: 401-467-9193
Mailing Address
MATTHEW SHANE DONNELLY ST GERMAIN RN, LMT
144 WATERMAN ST STE 5
PROVIDENCE, RI 02906-2126
Phone number: 401-413-7525