Healthcare Provider Details

I. General information

NPI: 1316042716
Provider Name (Legal Business Name): LEIGH ANN DUFRESNE P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CHAPEL VIEW BLVD STE 140
CRANSTON RI
02920-3087
US

IV. Provider business mailing address

27 S BRYN MAWR AVE
BRYN MAWR PA
19010-3406
US

V. Phone/Fax

Practice location:
  • Phone: 401-533-9616
  • Fax:
Mailing address:
  • Phone: 610-527-2727
  • Fax: 610-527-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018067
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT04197
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: