Geoffrey Phaneuf, DPT

NPI #1528577384 in Riverside, Rhode Island

Provider Information

NPI Number: 1528577384
Entity Type: Individual
Name: Geoffrey Phaneuf, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 25, 2017
Last Updated: Sep 18, 2019

Practice Location

Address: 375 WAMPANOAG TRL STE 403
City: Riverside
State: Rhode Island
ZIP Code: 02915
Phone: (401) 433-4172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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