-- SHANAN T BRISSETTE -- PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1093925331- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 927 WARREN AVE, EAST PROVIDENCE, RI, 029141423
- Phone
- (401) 438-0905
- Fax
- (401) 383-7946
Specialties & Taxonomies
Physical Therapist
License: RI #PT02244
Physical Therapist
Primary License: MA #17749