| NPI | 1073073375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI OATES Supervisor, Professional Rev Cycle 401-273-0641 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-08-31 |