PETER J. STACK

PROVIDENCE, RI
NPI1528318631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: RI  PT00331)
Enumeration Date2012-09-17
Last Update Date2013-09-11
Business Address
Mr. PETER J. STACK MSPT
134 THURBERS AVE
PROVIDENCE, RI 02905-4754
Phone number: 401-331-1350
Mailing Address
Mr. PETER J. STACK MSPT
PO BOX 6688
PROVIDENCE, RI 02940-6688
Phone number: 401-331-1350
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