Shawn Kristopher Petrucci
NPI #1689178154 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1689178154
- Entity Type
- Individual
- Name
- Shawn Kristopher Petrucci
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Mar 20, 2018
- Last Updated
- Mar 20, 2018
Practice Location
- Address
- 153 KINGS RIDGE RD
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-7675
- Phone
- (401) 575-7122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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