MEDICARE: GABRIELLA LAMOUREUX PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT04071	RI

General Provider Information

NPI Number	:	1881572105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA LAMOUREUX PT

Provider Business Mailing Address
First Line	:	1 KETTLE POINT AVE
Second Line	:
City	:	EAST PROVIDENCE
State	:	RI
Zip	:	02914-5375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 VALLEY RD
Second Line	:
City	:	MIDDLETOWN
State	:	RI
Zip	:	02842-6329
Country	:	US
Telephone Number	:	401-443-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	10/20/2025

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Directions to “ GABRIELLA LAMOUREUX PT” Practice Location

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