Provider / Organization | NPI | Date Certified |
---|---|---|
TERI LAITER | 1659975597 | 2020-11-22 |
Entity Type | Individual |
Provider Name | Mrs. Teri Laiter |
Practice Office Address | 507 MAIN ST EAST GREENWICH, RI US |
Practice Office Telephone | 4018847044 |
Mailing Address | 507 MAIN ST EAST GREENWICH, RI 028183644 US |
Business Telephone | 4018847044 |
Code | License No | State |
---|---|---|
183500000X PRIMARY | 3352 | RI |