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1497719215
LORI S DACOSTA
EAST PROVIDENCE, RI
NPI
1497719215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT01476)
Enumeration Date
2006-04-17
Last Update Date
2023-12-04
Business Address
Mrs. LORI S DACOSTA PT
927B WARREN AVE
EAST PROVIDENCE, RI 02914-1423
Phone number: 401-438-0905
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Mailing Address
Mrs. LORI S DACOSTA PT
927B WARREN AVE
EAST PROVIDENCE, RI 02914-1423
Phone number: 401-438-0905
Copy
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