MICHAEL WADSWORTH

CRANSTON, RI
NPI1699338384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  3551)
Enumeration Date2019-04-17
Last Update Date2021-06-28
Business Address
MICHAEL WADSWORTH
1974 BROAD ST # 2
CRANSTON, RI 02905-3429
Phone number: 603-803-2121
Mailing Address
MICHAEL WADSWORTH
1974 BROAD ST # 2
CRANSTON, RI 02905-3429
Phone number: 603-803-2121
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