| NPI | 1124134895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J PELOQUIN Account Manager 401-722-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT00502) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2008-01-22 |