Michael Mendoza

NPI #1467756999 in Woonsocket, Rhode Island

Provider Information

NPI Number: 1467756999
Entity Type: Individual
Name: Michael Mendoza
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Dec 23, 2010
Last Updated: Dec 23, 2010

Practice Location

Address: 1226 PARK AVE # 3
City: Woonsocket
State: Rhode Island
ZIP Code: 02895-6533
Phone: (508) 298-1640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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