Provider Demographics
NPI:1841352614
Name:STINCHFIELD, DENISE GARCEAU (PT)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:GARCEAU
Last Name:STINCHFIELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:GARCEAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:33 MARIAN LN
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-6037
Mailing Address - Country:US
Mailing Address - Phone:401-765-2426
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:OUTPATIENT ADULT REHABILITATION-CORO WEST SUITE 1300
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-5419
Practice Address - Fax:401-444-5089
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI960225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist