| NPI | 1033166657 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THOMAS J DUBUQUE Physical Therapist 401-949-0380  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01833)  | 
| Enumeration Date | 2006-05-28 | 
| Last Update Date | 2020-08-22 |