| NPI | 1144605932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ANDERSON Vice President Of Finance & Asc 401-777-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2025-11-14 |