Dana R Ekelund LMT,CNMT

NPI 1679736458 - Mechanotherapist - 172M00000X

NPI Details
NPI 1679736458
Gender Male
Enumeration Date 07/02/2008
Last Updated 07/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1145 RESERVOIR AVE
SUITE 300
CRANSTON RI, 02920-6055, US
Phone (401) 943-2500
Fax
Business Location
1145 RESERVOIR AVE
SUITE 300
CRANSTON RI, 02920-6055, US
Phone (401) 943-2500
Fax
Toxanomy
Taxonomy Code 172M00000X
License State Rhode Island
License Number MT00778
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According to our database, Dana R Ekelund LMT,CNMT NPI is 1679736458, taxonomy code is 172M00000X and license number is MT00778, license state is located at Rhode Island. Dana R Ekelund LMT,CNMT physically located at 1145 Reservoir Ave, Cranston RI, 02920-6055. NPI Number Dana R Ekelund LMT,CNMT has the Individual type.

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1679736458 NPI number is provided on an as is basis without warranty of any kind. 1679736458 is maintained by the National Plan & Provider Enumeration System. The contents of Dana R Ekelund LMT,CNMT are for informational purposes only.