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1629742366
SHANA DEFUSCO
CRANSTON, RI
NPI
1629742366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: RI PTA01347)
Enumeration Date
2021-08-05
Last Update Date
2021-08-05
Business Address
SHANA DEFUSCO PTA, CPT
1193 RESERVOIR AVE
CRANSTON, RI 02920-6008
Phone number: 401-228-3939
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Mailing Address
SHANA DEFUSCO PTA, CPT
1193 RESERVOIR AVE
CRANSTON, RI 02920-6008
Phone number: 401-228-3939
Copy
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