ANDRE JOSEPH THIBEAULT

PROVIDENCE, RI
NPI1912295064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: RI  PT02399)
Enumeration Date2011-07-11
Last Update Date2011-07-19
Business Address
-- ANDRE JOSEPH THIBEAULT P.T.
285 PROMENADE ST
PROVIDENCE, RI 02908
Phone number: 401-459-4008
Mailing Address
-- ANDRE JOSEPH THIBEAULT P.T.
285 PROMENADE ST
PROVIDENCE, RI 02908-5794
Phone number: 401-459-4008
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