IndividualActive
Andre Thibeault, P.T.
NPI 1912295064 · Physical Therapist · Providence, RI
Provider details
- NPI number
- 1912295064
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- PT02399 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
285 Promenade St
Providence, RI 02908
Phone: (401) 459-4008
Fax: (401) 459-4010
Approximate (ZIP-level) locationGet directions
Mailing address
285 Promenade St
Providence, RI 02908-5794
Registry dates
- Enumerated
- 2011-07-11
- Last updated
- 2011-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.