| NPI | 1083216352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMERICO TESTA Owner 401-451-5635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2021-02-04 |