Hailey I Shore, DPT

NPI #1033663943 in Providence, Rhode Island

Provider Information

NPI Number: 1033663943
Entity Type: Individual
Name: Hailey I Shore, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 9, 2016
Last Updated: Dec 12, 2017

Practice Location

Address: 49 SEEKONK ST
City: Providence
State: Rhode Island
ZIP Code: 02906-5176
Phone: (401) 230-1126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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