| NPI | 1164176079 |
|---|---|
| Former Legal Business Name | NURTURING WELLNESS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARYHELEN E. GUSTAFSON Physical Therapist 401-379-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |